| Organization Name: | BONNER GENERAL HOSPITAL, INC. |
| NPI Number: | 1073562591 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHERYL LYNNE RICKARD (CHIEF EXECUTIVE OFFICER BONNER GENE) |
| Mailing Address: | 520 N 3rd Ave Sandpoint |
| State: | ID US |
| Postal Code: | 838641507 |
| Phone Number: | 2082651179 |
| Fax Number: | 2082651085 |
| NPI Enumeration Date: | 05/10/2006 |
| NPI Last Update Date: | 07/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |