Organization
ST. MARY'S HOSPITAL, INC.
Active
Parent organization
KOOTENAI HEALTH, INC.
Other names
St. Mary's Hospital Swing Bed
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
701 LEWISTON ST, COTTONWOOD, ID 83522
(208) 962-3251
Mailing address
701 LEWISTON ST, COTTONWOOD, ID 83522-9750
(208) 962-2301
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
33
ID
Other
Enumeration date
07/21/2006
Last updated
10/08/2025
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