Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bonner General Hospital Inc

Organization Emergency Medicine Physician · NPI 1154563963

Bonner General Hospital Inc is an Emergency Medicine Physician in Sandpoint, Idaho. Licensed in Idaho. Registered with an NPI since 2009.

Licensed in
ID
In the registry since
2009
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

520 N 3rd Ave
Sandpoint, ID 83864-1507
Phone: (208) 263-1441
Fax: (208) 265-1277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Access Hospital (primary) Taxonomy 282NC0060X · Licence 22 (ID)
Emergency Medicine Physician Taxonomy 207P00000X
Medicare Defined Swing Bed Hospital Unit Taxonomy 275N00000X

Record details

NPI number1154563963
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Hennessy — Ceo · (208) 265-1100
Other names Bonner General Health; Bonner General Health
NPI enumeratedMarch 26, 2009
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025
Mailing addressPo Box 1343, Sandpoint, ID 83864-0863

Other providers in Sandpoint