Organization
BONNER GENERAL HOSPITAL, INC
Active
Other names
Bonner General Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HENNESSY (CEO)
(208) 265-1100
Entity
Organization
Contact information
Practice address
606 N 3RD AVE STE 203, SANDPOINT, ID 83864-1691
(208) 265-1090
Mailing address
PO BOX 1343, SANDPOINT, ID 83864-0863
(208) 265-1158
(208) 265-1278
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/17/2018
Last updated
09/13/2024
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