Organization
BONNER GENERAL HOSPITAL, INC.
Active
Other names
Bonner General Family and Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HENNESSY (CEO)
(208) 265-1100
Entity
Organization
Contact information
Practice address
423 N THIRD AVE STE 210, SANDPOINT, ID 83864-1511
(208) 265-2221
(208) 265-2229
Mailing address
PO BOX 1343, SANDPOINT, ID 83864-0863
(208) 265-1158
(208) 265-1278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
06/24/2024
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