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BONNER GENERAL HOSPITAL INC NPI 1992069454


NPI Information

NPI: 1992069454
Provider Name: BONNER GENERAL HOSPITAL, INC

Doing Business As: SANDPOINT WOMENS HEALTH

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 13D0522394

Address:
423 N. THIRD AVE
SUITE 210
SANDPOINT, ID
ZIP 83864
Phone: (208) 263-2173
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BONNER GENERAL HOSPITAL, INC is an obstetrics gynecology in Sandpoint, ID. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. BONNER GENERAL HOSPITAL, INC NPI is 1992069454. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sandpoint Womens Health.

The provider's business location address is:

423 N. THIRD AVE
SUITE 210
SANDPOINT, ID
ZIP 83864-505
Phone: (208) 263-2173
Fax: (208) 263-7441

The provider's authorized official is John Hennessy .
The authorized official title is Cfo and has the following contact phone number (208) 265-1101.

The CLIA number assigned to this NPI record is 13D0522394 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/29/2012 and was last updated on 8/25/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

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

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