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

ST. MARY'S HOSPITAL INC
NPI 1568633592
Nurse Practitioner - Family in Cottonwood, ID

Q: What is St. Mary's Hospital Inc's NPI number?

The NPI number for St. Mary's Hospital Inc is 1568633592. It was assigned to this organization in the NPPES registry on March 18, 2008. The provider is doing business as St. Mary's Clinics Midlevel Group.

Q: What is St. Mary's Hospital Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since March 18, 2008

701 LEWISTON STREET, COTTONWOOD, ID 83522(208) 962-3267(208) 962-2313 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About St. Mary's Hospital Inc NPPES

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

ST. MARY'S HOSPITAL INC (NPI 1568633592), doing business as St. Mary's Clinics Midlevel Group, is a healthcare organization registered as a family in Cottonwood, Idaho and active in the NPI registry since March 2008. The organization lists Lenne Bonner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568633592

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameST. MARY'S HOSPITAL INC

Location Address701 LEWISTON STREETCottonwood, ID 83522-0565

Mailing AddressPo Box 565Cottonwood, ID 83522-0565 · (208) 962-3267 · Fax (208) 962-2313

Phone(208) 962-3267

Fax(208) 962-2313

Organization SubpartYesParent: Kootenai Health, Inc.

Authorized OfficialLenne BonnerCeo · (208) 476-8008

Enumeration DateMarch 18, 2008

Last NPPES UpdateAugust 10, 2026

NPPES CertifiedAugust 10, 2026

✔ NPI 1568633592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

701 LEWISTON STREET, Cottonwood, ID 83522

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Other Names 1

Doing Business AsSt. Mary's Clinics Midlevel Group

Other Identifiers 1

Medicaid805066400ID

Group Practice 1

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

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST. MARY'S HOSPITAL INC

Physical Therapist