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NPI 1073562591 · live from the CMS NPI Registry

Bonner General Hospital, INC.

Hospice Care, Community Based in Sandpoint, ID. National Provider Identifier 1073562591, active.

NPI record

NPI1073562591 Type 2 · organization
StatusActive
Primary specialtyHospice Care, Community Based 251G00000X
Practice location520 N 3rd Ave, Sandpoint, ID 83864
Practice phone208-265-1179
Mailing addressPo Box 1353, Sandpoint, ID 83864
EnumeratedMay 10, 2006
Last updatedMay 7, 2024
Authorized officialJohn Hennessy, Chief Executive Officer Bonner Gene
Other namesBonner Community Hospice

Taxonomies and licenses

TaxonomyCodeLicense
Hospice Care, Community Based primary251G00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.