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Organization
CLEARWATER VALLEY HOSPITAL & CLINICS INC.
Active
Organization
CLEARWATER VALLEY HOSPITAL & CLINICS INC.
Active
Parent organization
KOOTENAI HEALTH, INC.
Other names
Midlevel Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
KOOTENAI HEALTH, INC.
Authorized official
LENNE BONNER (CEO)
(208) 476-8008
Entity
Organization
Contact information
Practice address
301 CEDAR ST, OROFINO, ID 83544-9029
(208) 476-4555
(208) 476-5385
Mailing address
301 CEDAR ST, OROFINO, ID 83544-9029
(208) 476-4555
(208) 476-5385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NULL
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805060800
—
ID
Enumeration date
04/04/2008
Last updated
08/10/2026
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