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

St Mary's Hospital, Inc

Organization Family Medicine Physician · NPI 1174577100

St Mary's Hospital, Inc is a Family Medicine Physician in Cottonwood, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
Specialties on file
2
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

701 Lewiston St
Cottonwood, ID 83522-9750
Phone: (208) 962-3267
Fax: (208) 962-2313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (ID)
Nurse Practitioner Taxonomy 363L00000X (ID)

Record details

NPI number1174577100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lenne Bonner — Ceo · (208) 476-4555
Other names St. Mary'S Health
NPI enumeratedMay 22, 2006
Last updated in NPPESJanuary 27, 2022
Certification dateJanuary 27, 2022
Mailing address2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051

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