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Organization

ST. MARY'S HOSPITAL & CLINICS, INC.

Active
Parent organization
KOOTENAI HEALTH, INC.
Other names
St. Mary's Health Pharmacy Cottonwood
Organization subpart
Yes

Provider details

NPI number
Legal business name
KOOTENAI HEALTH, INC.
Authorized official
LENNE BONNER (CEO)
(208) 476-4555
Entity
Organization

Contact information

Practice address
429 MAIN ST, COTTONWOOD, ID 83522-5270
(208) 962-3401
(208) 962-5150
Mailing address
429 MAIN ST, COTTONWOOD, ID 83522-5270
(208) 962-3401
(208) 962-5150

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
02/02/2026
Last updated
05/11/2026
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