Organization
BONNER GENERAL HOSPITAL, INC
Active
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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