Organization · Type 2 NPI

Bonner General Hospital, Inc.

Family Medicine Physician · Sandpoint, ID

NPI number 1033737887 Active

Practice location

423 N Third Ave Ste 210
Sandpoint, ID 83864-1511

Call (208) 265-2221 Map

Fax (208) 265-2229

Mailing address

PO Box 1343
Sandpoint, ID 83864-0863

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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NPI record

NPI: 1033737887
Entity type: Organization (Type 2)
Issued: Jul 8, 2020
Last updated: Sep 25, 2026
Status: Active

Other names

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Bonner General Family and Internal Medicine · doing business as
Bonner General Family and Internal Medicine · doing business as

Authorized official

John Hennessy
CEO
(208) 265-1100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033737887

Bonner General Hospital, Inc.'s National Provider Identifier is 1033737887, issued on Jul 8, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Sandpoint, ID. The record was last updated on Sep 25, 2026.