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BONNER GENERAL FAMILY AND INTERNAL MEDICINE
NPI 1033737887
Internal Medicine in Sandpoint, ID

Active since July 08, 2020CLIA 13D2188597 · Microscopy
423 N THIRD AVE STE 210, SANDPOINT, ID 83864(208) 265-2221(208) 265-2229 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 24, 2024, Jan 3, 2024, Jun 2, 2023 and 1 more (4 updates tracked since 2020).

About Bonner General Family And Internal Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONNER GENERAL FAMILY AND INTERNAL MEDICINE (NPI 1033737887) is a healthcare organization registered as an internal medicine in Sandpoint, Idaho and active in the NPI registry since July 2020. The organization holds a CLIA Microscopy certificate valid through December 25, 2026 and lists John Hennessy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033737887
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBONNER GENERAL HOSPITAL, INC.
Location Address423 N THIRD AVE STE 210Sandpoint, ID 83864-1511
Mailing AddressPo Box 1343Sandpoint, ID 83864-0863 · (208) 265-1158 · Fax (208) 265-1278
Phone(208) 265-2221
Fax(208) 265-2229
Organization SubpartNo
Authorized OfficialJohn HennessyCeo · (208) 265-1100
Enumeration DateJuly 8, 2020
Last NPPES UpdateJune 24, 20244 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1033737887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
423 N THIRD AVE STE 210, Sandpoint, ID 83864
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Other Names 1

Doing Business AsBonner General Family And Internal Medicine

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 13D2188597

Bonner General Family And Internal Medicine · Sandpoint, ID
Active · expires Dec 25, 2026
CLIA Number13D2188597
Laboratory TypePhysician Office
Certificate Effective DateDecember 26, 2024
Certificate Expiration DateDecember 25, 2026
Laboratory DirectorStacey F. Good
Laboratory Phone(208) 265-2221
Laboratory LocationBonner General Family And Internal Medicine423 N 3rd Avenue Ste 210, Sandpoint, ID 83864
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bonner General Hospital, Inc.'s NPI number?

The NPI number for Bonner General Hospital, Inc. is 1033737887. It was assigned to this organization in the NPPES registry on July 8, 2020. The provider is doing business as Bonner General Family And Internal Medicine.

Where is Bonner General Hospital, Inc. located?

Bonner General Hospital, Inc. is located at 423 N Third Ave Ste 210, Sandpoint, ID 83864. The listed phone number is (208) 265-2221.

What is Bonner General Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Bonner General Hospital, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D2188597) is associated with this NPI, valid through December 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bonner General Hospital, Inc. was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.