# BONNER GENERAL HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bonner General Urology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801739339
- **Authorized official:** JOHN HENNESSY (CEO)
- **Authorized official phone:** (208) 265-1100

## Contact information

- **Practice address:** 423 N 3RD AVE STE 110, SANDPOINT, ID 83864-1511
- **Practice address phone:** (208) 265-3342
- **Practice address fax:** (208) 263-1766
- **Mailing address:** PO BOX 1343, SANDPOINT, ID 83864-0863
- **Mailing address phone:** (208) 265-1158
- **Mailing address fax:** (208) 265-1278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2026
- **Last updated:** 08/14/2026