Organization
BONNER GENERAL HOSPITAL, INC.
Active
Other names
Bonner Community Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HENNESSY (CHIEF EXECUTIVE OFFICER BONNER GENE)
(208) 263-1441
Entity
Organization
Contact information
Practice address
520 N 3RD AVE, SANDPOINT, ID 83864-1507
(208) 265-1179
(208) 265-1085
Mailing address
PO BOX 1353, SANDPOINT, ID 83864-0863
(208) 265-1179
(208) 265-1085
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002274200
—
ID
Enumeration date
05/10/2006
Last updated
05/07/2024
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