Organization
BONNER GENERAL HOSPITAL, INC
Active
Other names
Bonner General Urology
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HENNESSY (CEO)
(208) 265-1100
Entity
Organization
Contact information
Practice address
423 N 3RD AVE STE 110, SANDPOINT, ID 83864-1511
(208) 265-3342
(208) 255-3422
Mailing address
PO BOX 1343, SANDPOINT, ID 83864-0863
(208) 265-1158
(208) 265-1278
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
04/10/2026
Last updated
06/17/2026
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