BONNER GENERAL HOSPITAL, INC (NPI# 1558582429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558582429 |
| Entity Type | Organization |
| Organization Name | BONNER GENERAL HOSPITAL, INC |
| Practice Address |
520 N 3rd Ave Sandpoint ID 83864-1507 |
| Practice Telephone | 2082653731 |
| Practice Fax Number | 2082651031 |
| Mailing Telephone | 2082653731 |
| Mailing Fax Number | 2082651031 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2019-12-05 |
| Authorized Official Name | SHERYL RICKARD (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2082651100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
22 | ID | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 2406800 | 05 | |
| ID | DEA NUMBER | AB1610561 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104461649 | Bonner General Hospital, Inc | Ophthalmology | 423 N 3rd Ave Ste 102, Sandpoint, ID 83864-1511 | 2019-11-07 |
| 1992069454 | Bonner General Hospital, Inc | Obstetrics & Gynecology | 423 N. Third Ave, Suite 210, Sandpoint, ID 83864-1505 | 2012-06-29 |
| 1982112660 | Bonner General Hospital, Inc | Psychologist | 606 N 3rd Ave Ste 203, Sandpoint, ID 83864-1691 | 2018-01-17 |
| 1982060984 | Bonner General Hospital, Inc | Orthopaedic Surgery | 606 N 3rd Ave, Ste 201, Sandpoint, ID 83864-1594 | 2016-01-06 |
| Street Address |
520 N 3RD AVE |
| City | SANDPOINT |
| State | ID |
| Zip Code | 83864-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144287756 | Bonner General Hospital, Inc. | General Acute Care Hospital | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2006-04-27 |
| 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 |
| 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 | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013306307 | 1958 | General Acute Care Hospital | 730 E Clark St, #4657, Pocatello, ID 83205-5401 | 2015-01-09 |
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.