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Organization
BONNER GENERAL HOSPITAL, INC.
Active
Organization
BONNER GENERAL HOSPITAL, INC.
Active
Other names
Bonner General Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL LYNN RICKARD (CEO)
(208) 265-1100
Entity
Organization
Contact information
Practice address
520 N 3RD AVE, SANDPOINT, ID 83864-1507
(208) 265-1101
(208) 265-1277
Mailing address
520 N 3RD AVE, SANDPOINT, ID 83864-1507
(208) 265-1101
(208) 265-1277
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
22
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010004580
REGENCE BLUE SHIELD 1500
ID
01
—
000010004581
REGENCE BLUE SHIELD 1500
ID
01
—
000010004582
REGENCE BLUE SHIELD
ID
01
—
000010004583
REGENCE BLUE SHIELD UB92
ID
01
—
00067
BLUE CROSS UB92
ID
05
—
002274000
—
ID
05
—
002406400
—
ID
01
—
0027647
DEPT OF LABOR UB92
WA
01
—
0146625
DEPT OF LABOR 1500
WA
05
—
0354783
—
MT
05
—
0410280
—
MT
05
—
3300423
—
WA
05
—
7027337
—
WA
05
—
7106958
—
WA
01
—
8K388
BLUE CROSS 1500
ID
Enumeration date
04/27/2006
Last updated
03/16/2010
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