OrganizationActive
Bonner General Hospital, Inc
NPI 1104461649 · Ophthalmology Physician · Sandpoint, ID
Provider details
- NPI number
- 1104461649
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- John Hennessy, Ceo
Practice location
423 N 3rd Ave Ste 110
Sandpoint, ID 83864-1511
Phone: (208) 265-1011
Fax: (208) 265-6271
Mailing address
Po Box 1343
Sandpoint, ID 83864-0863
Registry dates
- Enumerated
- 2019-11-07
- Last updated
- 2024-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.