Organization
ST. MARY'S HOSPITAL, INC.
Active
Parent organization
ST. MARY'S HOSPITAL INC
Other names
St Mary's Healthwatch, St. Mary's Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. MARY'S HOSPITAL INC
Authorized official
LENNE BONNER (CEO)
(208) 476-4555
Entity
Organization
Contact information
Practice address
701 LEWISTON ST, COTTONWOOD, ID 83522
(208) 962-3251
(208) 962-3722
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5085
(208) 625-5731
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805649800
—
ID
Enumeration date
01/10/2007
Last updated
01/27/2022
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