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Organization
ST. MARY'S HOSPITAL INC
Active
Organization
ST. MARY'S HOSPITAL INC
Active
Parent organization
KOOTENAI HEALTH, INC.
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
701 LEWISTON ST, COTTONWOOD, ID 83522
(208) 962-3251
(208) 962-3722
Mailing address
PO BOX 137, COTTONWOOD, ID 83522-0137
(208) 962-3251
(208) 962-3722
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
650HP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002283300
—
ID
Enumeration date
10/15/2007
Last updated
08/10/2026
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