BONNER GENERAL HOSPITAL, INC. (NPI# 1144287756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144287756 |
| Entity Type | Organization |
| Organization Name | BONNER GENERAL HOSPITAL, INC. |
| Other Organization Name | BONNER GENERAL HOSPITAL |
| Practice Address |
520 N 3rd Ave Sandpoint ID 83864-1507 |
| Practice Telephone | 2082651101 |
| Practice Fax Number | 2082651277 |
| Mailing Telephone | 2082651101 |
| Mailing Fax Number | 2082651277 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2010-03-16 |
| Authorized Official Name | SHERYL LYNN RICKARD (CEO) |
| Authorized Official Telephone | 2082651100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 22 | ID | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | REGENCE BLUE SHIELD 1500 | 000010004581 | 01 |
| ID | REGENCE BLUE SHIELD UB92 | 000010004583 | 01 |
| MT | 0410280 | 05 | |
| WA | 3300423 | 05 | |
| WA | 7027337 | 05 | |
| ID | 002274000 | 05 | |
| WA | DEPT OF LABOR 1500 | 0146625 | 01 |
| ID | 002406400 | 05 | |
| ID | REGENCE BLUE SHIELD 1500 | 000010004580 | 01 |
| ID | REGENCE BLUE SHIELD | 000010004582 | 01 |
| ID | BLUE CROSS UB92 | 00067 | 01 |
| WA | DEPT OF LABOR UB92 | 0027647 | 01 |
| MT | 0354783 | 05 | |
| ID | BLUE CROSS 1500 | 8K388 | 01 |
| WA | 7106958 | 05 |
| Other Name | Type Code |
|---|---|
| Bonner General Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316414436 | Bonner General Hospital, Inc. | Otolaryngology | 606 N 3rd Ave Ste 102, Sandpoint, ID 83864-1594 | 2018-10-26 |
| 1033737887 | Bonner General Hospital, Inc. | Family Medicine | 423 N 3rd Ave Ste 110, Sandpoint, ID 83864-1511 | 2020-07-08 |
| 1598705584 | Bonner General Hospital, Inc. | Home Health | 520 N 3rd Ave, Sandpoint, ID 83864 | 2006-06-07 |
| 1073562591 | Bonner General Hospital, Inc. | Hospice Care, Community Based | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2006-05-10 |
| Street Address |
520 N 3RD AVE |
| City | SANDPOINT |
| State | ID |
| Zip Code | 83864-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710515176 | Andrew John Coyle | Dietitian, Registered | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2020-03-31 |
| 1285262808 | Mauria Prince | Pharmacist | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2020-03-30 |
| 1851927073 | Sara Couch | Pharmacist | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2020-03-19 |
| 1295361418 | Mary F Snider | Pharmacist | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2020-03-19 |
| 1992362818 | Amanda Black | Occupational Therapist | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2019-05-27 |
| 1538522511 | Apollo Med Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2016-03-29 |
| 1922436062 | Siesta Anesthesia Services, Pllc | Anesthesiology | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2013-10-29 |
| 1265703789 | Adam M Kerr | Nurse Anesthetist, Certified Registered | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2012-01-13 |
| 1669781639 | Charles Howlett | Physical Therapist | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2010-09-24 |
| 1154563963 | Bonner General Hospital Inc. | Emergency Medicine | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2009-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842600 | Deblaquiere Enterprises, Inc. | Pharmacy | 1319 Hwy 2, Suite A, Sandpoint, ID 83864 | 2020-05-07 |
| 1245867670 | Kimberly Sue Batchelder | Massage Therapist | Sandpoint Medical Massage & Bodyworks, LLC, 515 Pine Street Ste G., Sandpoint, ID 83864 | 2020-03-25 |
| 1699309963 | Ckam Rejuvenation Center LLC | Massage Therapist | 1315 Us-2, #5, Sandpoint, ID 83864 | 2020-02-26 |
| 1427602986 | Alpine Hand Therapy Inc | Physical Medicine & Rehabilitation | 1205 Hwy 2, Suite 102, Sandpoint, ID 83864 | 2019-08-01 |
| 1295388536 | Momentum Medical Massage and Personal Training, LLC | Massage Therapist | 1013 W Lake St, Sandpoint, ID 83864 | 2019-07-16 |
| 1629508932 | Karen Elizabeth Vollmer-poseley | Counselor | 506 N. 4th Ave, Sandpoint, ID 83864 | 2017-06-19 |
| 1760912042 | Gregory Jon Anthony Prins | Dentist | 1305 Highway 2 West, Sandpoint, ID 83864 | 2017-06-19 |
| 1730547084 | Charity Catlin | Midwife | 204 N 4th Ave #2355, Sandpoint, ID 83864 | 2016-02-02 |
| 1497148860 | Loftus Family Dental - Sandpoint Pllc | Dentist | 1310 Ponderosa Drive, Suite A, Sandpoint, ID 83864 | 2015-03-10 |
| 1215365523 | Tamarack Treatment and Counseling Center, Pllc | Counselor | 101 N. Boyer Ave, Sandpoint, ID 83864 | 2013-10-23 |
| Find all providers in zip 83864 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1225379183 | Sterling Hospital LLC | General Acute Care Hospital | 5412 S. Rock House Cir, Idaho Falls, ID 83406 | 2013-03-01 |
| 1023367828 | Stanley J Waters | General Acute Care Hospital | 1795 S Sub Station Rd, Emmett, ID 83617-9431 | 2012-09-07 |
| 1194908053 | Boise Intensive Care Hospital, Inc. | General Acute Care Hospital | 2131 South Bonito Way, Meridian, ID 83642-1659 | 2007-12-13 |
| 1346454337 | West Valley Medical Center | General Acute Care Hospital | 3720 S Indiana Ave, Caldwell, ID 83605 | 2007-05-09 |
| 1730203845 | Eastern Idaho Regional Medical Center | General Acute Care Hospital | 10701 S 1st E, Idaho Falls, ID 83404-7770 | 2007-03-16 |
| 1942308986 | Idaho Falls Recovery Center | General Acute Care Hospital | 1957 E 17th Street, Idaho Falls, ID 83404 | 2006-09-21 |
| 1609818483 | West Valley Medical Center Inc | General Acute Care Hospital | 381 B South Middleton Road, Middleton, ID 83644 | 2006-06-13 |
| 1992747570 | Madison Co Memorial Hospital | General Acute Care Hospital | 450 E. Main, Rexburg, ID 83440 | 2006-06-11 |
| 1851371959 | Mountain River Birthing and Surgery Center LLC | General Acute Care Hospital | 350 N Meridian St, Blackfoot, ID 83221-1625 | 2006-01-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BONNER GENERAL HOSPITAL, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.