Organization
BONNER GENERAL HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL RICKARD (CHIEF EXECUTIVE OFFICER)
(208) 265-1100
Entity
Organization
Contact information
Practice address
520 N 3RD AVE, SANDPOINT, ID 83864-1507
(208) 265-3731
(208) 265-1031
Mailing address
520 N 3RD AVE, SANDPOINT, ID 83864-1507
(208) 265-3731
(208) 265-1031
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
22
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2406800
—
ID
Enumeration date
05/01/2007
Last updated
03/07/2023
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