St. Mary's Hospital, Inc.

NPI #1669493417 in Cottonwood, Idaho

Provider Information

NPI Number
1669493417
Entity Type
Organization
Organization Name
St. Mary's Hospital, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
KOOTENAI HEALTH, INC.
Primary Specialty
Medicare Defined Swing Bed Unit
Enumeration Date
Jul 21, 2006
Last Updated
Oct 8, 2025

Practice Location

Address
701 LEWISTON ST
State
Idaho
ZIP Code
83522
Phone
(208) 962-3251

Authorized Official

Name
LENNE BONNER
Title
CEO
Phone
(208) 476-4555

Specialties & Taxonomy Codes

Specialty
Medicare Defined Swing Bed Unit

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