Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BONNER GENERAL HOSPITAL, INC.
NPI 1033737887
Family 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: September 25, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 25, 2026, Jun 24, 2024, Jan 3, 2024 and 2 more (5 updates tracked since 2020).

About Bonner General Hospital, Inc. NPPES

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

BONNER GENERAL HOSPITAL, INC. (NPI 1033737887), doing business as Bonner General Family And Internal Medicine, is a healthcare organization registered as a family 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 Taxonomy207Q00000X
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
Fax(208) 265-2229
Organization SubpartNo
Authorized OfficialJohn HennessyCeo · (208) 265-1100
Enumeration DateJuly 8, 2020
Last NPPES UpdateSeptember 25, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1033737887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X
423 N THIRD AVE STE 210, Sandpoint, ID 83864

Other Names 1

Doing Business AsBonner General Family And Internal Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Family Medicine with taxonomy code 207Q00000X.

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 September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.