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Durable Medical Equipment & Medical Supplies
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NPI 1174673552
● Active Type 2 · Organization
Subpart
St. Mary'S Hospital, Inc.
Durable Medical Equipment & Medical Supplies · Cottonwood, ID · NPI 1174673552
·
Enumerated 2007 · 19 years on NPI
St. Mary'S Hospital, Inc. is 1 of 264 durable medical equipment & medical supplies organizations in Idaho.
NPI age
19 years
Enumerated 2007-01-10
Primary specialty
Durable Medical Equipment & Medical Supplies
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 264 active durable medical equipment & medical supplies providers in Idaho.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2007 → 2026
2007-01 Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
701 Lewiston St
Cottonwood, ID 83522
📞 2089623251 fax 2089623722
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
📞 2086255085 fax 2086255731
Authorized official
Lenne Bonner
Ceo
📞 2084764555
Individual providers at this organization
20 individual providers on file at this primary practice address.
John Beeh , PAC
Physician Assistant
NPI 1417952862
Barry Bergen , MD
Psychiatry & Neurology
NPI 1538165592
Briana Bowden , ANP
Nurse Practitioner
NPI 1821454190
Jack Bruner , MD
Family Medicine
NPI 1982607669
Brenda Hagemann , MSN, APRN, BC FNP
Nurse Practitioner
NPI 1992708671
Nicholas Henrie , MD
Family Medicine
NPI 1487229324
Tema Jessup , DO
Family Medicine
NPI 1073774196
Justin Jones , M.D.
Family Medicine
NPI 1740639541
Rebecca Kirk-Ewing , RN CDE
Registered Nurse
NPI 1164759379
Kevin Lienesch , DNP, CRNA
Nurse Anesthetist, Certified Registered
NPI 1356794721
Todd McAllister , CRNA
Nurse Anesthetist, Certified Registered
NPI 1164652319
Taresa Michna , NP
Nurse Practitioner
NPI 1467901330
Haley Minnehan , MD
Family Medicine
NPI 1316940232
Jeremy Ostrander , MD
Family Medicine
NPI 1366403396
Bernadette Rundhaug , MED
Counselor
NPI 1003948845
Alvin Secrest , MD
Family Medicine
NPI 1053314864
Ronald Sigler , MD
Family Medicine
NPI 1386647212
Nathan Svendsen , DPT
Physical Therapist
NPI 1346018819
Dennis Tracy , CRNA
Nurse Anesthetist, Certified Registered
NPI 1578612065
Megan Wilson , DNP
Nurse Practitioner
NPI 1952304636
Specialties
Durable Medical Equipment & Medical Supplies
Primary
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
taxonomy 332B00000X
Identifiers
Type Value Notes
05 (ID)
805649800
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
Subpart of St. Mary'S Hospital Inc .
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.