| NPI | 1740289024 |
|---|---|
| Doing Business As | KOOTENAI OUTPATIENT SURGERY |
| Entity Type | Organization |
| Authorized Contact | SHIRLEY M TORWIRT Director 208-625-6428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: ID 307824) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID 307824) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2022-04-13 |