Organization
ST. MARY'S HOSPITAL, INC.
Active
Other names
St. Mary's Health
Organization subpart
No
Provider details
NPI number
Authorized official
LENNE BONNER (CEO)
(208) 476-4555
Entity
Organization
Contact information
Practice address
320 N DIVISION, CRAIGMONT, ID 83523
(208) 924-5504
(208) 924-5762
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
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/02/2006
Last updated
01/27/2022
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