NPIMap

Organization Active NPI

Clearwater Valley Hospital & Clinics Inc.

Doing business as Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Orofino, ID
National Provider Identifier
1083790216
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
01 Issued in ID
Legal business name
CLEARWATER VALLEY HOSPITAL & CLINICS INC.
Doing business as
Swing Bed
Practice address
301 Cedar St
Orofino, ID 83544-9029
Phone
(208) 476-4555
Fax
(208) 476-5385
NPI assigned
Oct 31, 2006
Last updated
Aug 10, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
KOOTENAI HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lenne Bonner
Title
Ceo
Phone
(208) 476-8008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 01 ID Primary

Addresses

Primary practice location

301 Cedar St
Orofino, ID 83544-9029

Mailing address

301 Cedar St
Orofino, ID 83544-9029
Phone (208) 476-4555

Other names 1

  • Swing Bed Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070522000157 ID Part A Provider - Critical Access Hospital 0547173346 Receives reassigned benefits from 2 practitioners
Practice locations: Orofino, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083790216. Details of each certification follow.

Hospital certification: CCN 13Z320

Legal name
CLEARWATER VALLEY HOSPITAL & CLINICS
Organization structure
CorporationNon-profit
Incorporated
Jan 7, 1998 in MN
Enrollment address
301 Cedar Street
Orofino, ID 83544-9029
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Clearwater Valley Hospital10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cynthia O'Brien Individual Corporate DirectorBoard Member Apr 1, 2020
Lenne J Bonner Individual Corporate OfficerCeo Sep 1, 2006
W-2 Managing EmployeeCeo Sep 1, 2006
Rene Forsman Individual Corporate DirectorBoard Member Apr 1, 2020
Jon Ness Individual OtherCeo Apr 1, 2020
Leonard Hill Individual Corporate DirectorBoard Member Apr 1, 2020
Matt Sartini Individual Corporate DirectorBoard Member Apr 1, 2020
Barbara Jean Glodowski Individual Corporate DirectorBoard Member Apr 1, 2020
Lisa Maurer Individual Corporate DirectorBoard Member Apr 1, 2020
Christina Ulmer Individual Corporate DirectorBoard Member Apr 1, 2020
Clarence J Brunson Individual Corporate DirectorBoard Member Apr 1, 2020
Kootenai Health, Inc. Organization, Coeur D Alene, ID 5% Or Greater Direct Ownership Interest Apr 1, 2020 100%
Jeremy Evans Individual Corporate DirectorBoard Member Apr 1, 2020
Kimberly Ingram Individual Corporate DirectorBoard Member Apr 1, 2020
Kelly J McGrath Individual Corporate DirectorBoard Member Apr 1, 2020

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1083790216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CEDAR ST",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "835449029",
            "telephone_number": "208-476-4555",
            "fax_number": "208-476-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CEDAR ST",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "835449029",
            "telephone_number": "208-476-4555",
            "fax_number": "208-476-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER VALLEY HOSPITAL & CLINICS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KOOTENAI HEALTH, INC.",
        "enumeration_date": "2006-10-31",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "LENNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-476-8008"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "ID",
            "license": "01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swing Bed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orofino, ID

Sources for this page

Verify at the official NPI Registry.