Organization
CLEARWATER VALLEY HOSPITAL & CLINICS INC.
Active
Organization
CLEARWATER VALLEY HOSPITAL & CLINICS INC.
Active
Parent organization
KOOTENAI HEALTH, INC.
Other names
Anesthesia group
Organization subpart
Yes
Provider details
NPI number
Legal business name
KOOTENAI HEALTH, INC.
Authorized official
LENNE BONNER (CEO)
(208) 476-8008
Entity
Organization
Contact information
Practice address
301 CEDAR ST, OROFINO, ID 83544-9029
(208) 476-4555
(208) 476-5385
Mailing address
301 CEDAR ST, OROFINO, ID 83544-9029
(208) 476-4555
(208) 476-5385
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
01
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010002830
REGENCE BLUE SHIELD GROUP
ID
05
—
805177400
—
ID
01
—
8L550
BC IDAHO GROUP PROV #
ID
Enumeration date
06/08/2007
Last updated
08/10/2026
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