| Organization Name: | BONNER GENERAL HOSPITAL INC. |
| NPI Number: | 1154563963 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHERYL LYNN RICKARD (CEO) |
| Mailing Address: | 520 N 3rd Ave Sandpoint |
| State: | ID US |
| Postal Code: | 838641507 |
| Phone Number: | 2082631441 |
| Fax Number: | 2082651277 |
| NPI Enumeration Date: | 03/26/2009 |
| NPI Last Update Date: | 02/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 22 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |