BONNER GENERAL HOSPITAL INC NPI 1558582429

NPI Information

NPI: 1558582429
Provider Name: BONNER GENERAL HOSPITAL, INC
Classification: General Acute Care Hospital - 282NR1301X
Entity Type: Organization

Specialization: Rural

CLIA Number: 13D0522371

Address:
520 N 3RD AVE
SANDPOINT, ID
ZIP 83864
Phone: (208) 265-3731
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BONNER GENERAL HOSPITAL, INC is a rural general acute care hospital in Sandpoint, ID. BONNER GENERAL HOSPITAL, INC NPI is 1558582429. The provider is registered as an organization entity type.

The provider's business location address is:

520 N 3RD AVE
SANDPOINT, ID
ZIP 83864-507
Phone: (208) 265-3731
Fax: (208) 265-1031

The provider's authorized official is Sheryl Rickard .
The authorized official title is Chief Executive Officer and has the following contact phone number (208) 265-1100.

The CLIA number assigned to this NPI record is 13D0522371 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 12/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NR1301X	General Acute Care Hospital	Rural	22	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2406800	MEDICAID	IDAHO
2	AB1610561	OTHER	IDAHO	DEA NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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