Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

St Mary's Hospital, Inc

Organization Family Medicine Physician · NPI 1174577100

St Mary's Hospital, Inc provides Family Medicine Physician services in Cottonwood, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

701 Lewiston St
Cottonwood, ID 83522-9750
Phone: (208) 962-3267
Fax: (208) 962-2313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (ID)
Nurse Practitioner Taxonomy 363L00000X (ID)

Record details

NPI number1174577100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lenne Bonner — Ceo · (208) 476-4555
Other names St. Mary'S Health
NPI enumeratedMay 22, 2006
Last updated in NPPESJanuary 27, 2022
Certification dateJanuary 27, 2022
Mailing address2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051

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