P Praxis·MD
● Active Type 2 · Organization

St. Mary'S Hospital, Inc.

Family Medicine·Cottonwood, ID· NPI 1174577100 · Enumerated 2006 · 20 years on NPI
St. Mary'S Hospital, Inc. is 1 of 1691 family medicine organizations in Idaho.
NPI age
20 years
Enumerated 2006-05-22
Primary specialty
Family Medicine
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bonner
Ceo
Last NPPES update
2022-01-27
Source: monthly bulk 2026-05

How this organization compares

Across 1691 active family medicine providers in Idaho.

NPI age
20 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 31% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
701 Lewiston St
Cottonwood, ID 835229750
📞 2089623267fax 2089622313
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
📞 2086255085fax 2086255731

Authorized official

Lenne Bonner
Ceo
📞 2084764555

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Family Medicine Primary
    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...
    taxonomy 207Q00000X
  • Nurse Practitioner
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    taxonomy 363L00000X

Identifiers

TypeValueNotes
05 (ID) 002283500
05 (ID) 805066400

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • St. Mary's Health
    Type code 3 recorded 2022-01-27

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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