Organization
CLEARWATER VALLEY HOSPITAL & CLINICS
Active
Other names
Clearwater Valley Health
Organization subpart
No
Provider details
NPI number
Authorized official
LENNE J BONNER (CEO)
(208) 476-4555
Entity
Organization
Contact information
Practice address
301 CEDAR ST, OROFINO, ID 83544-9029
(208) 476-4555
(208) 476-5385
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 464-2578
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805060600
—
ID
Enumeration date
06/15/2006
Last updated
01/27/2022
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