Organization
BONNER GENERAL HOSPITAL, INC.
Active
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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