Bonner General Hospital Inc

A Medicare group practice based in Sandpoint, ID: 10 NPIs enrolled under one PECOS associate control ID (PAC ID 4082690466), with 77 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4082690466The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Hospice, Part B Supplier - Clinic/Group Practice
Enrolled in
ID
Enrollments
4
Group size
47 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20050531000588 ID Part A Provider - Hospice 1073562591
O20040626000014 ID Part B Supplier - Clinic/Group Practice 1154563963
O20090511000185 ID Part A Provider - Critical Access Hospital 1154563963
O20240423002212 ID Part A Provider - Critical Access Hospital 1154563963

NPIs in this group 10

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 77

Clinicians who reassign their Medicare benefits to this group (77) or whom Care Compare lists as members (47).

Sources for this page