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Organization
BONNER GENERAL HOSPITAL, INC
Active
Organization
BONNER GENERAL HOSPITAL, INC
Active
Other names
Bonner General Urology
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HENNESSY (CEO)
(208) 265-1100
Entity
Organization
Contact information
Practice address
423 N 3RD AVE STE 110, SANDPOINT, ID 83864-1511
(208) 265-3342
(208) 263-1766
Mailing address
PO BOX 1343, SANDPOINT, ID 83864-0863
(208) 265-1158
(208) 265-1278
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
04/10/2026
Last updated
08/14/2026
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