St. Mary'S Hospital Inc
Organization Active NPI Physical Therapist · Cottonwood, ID
NPI 1114151016 · NPPES record last updated Aug 10, 2026
Key facts
- NPI
- 1114151016
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ST. MARY'S HOSPITAL INC
- Practice address
- 701 Lewiston Street
Cottonwood, ID 83522-9750 - Phone
- (208) 962-3251
- Fax
- (208) 962-2323
- NPI assigned
- May 6, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- KOOTENAI HEALTH, INC.
Authorized official
- Name
- Lenne Bonner
- Title
- Ceo
- Phone
- (208) 476-8008
Corporate family (same tax ID) 13
Practitioners 1
-
Andrew F Jones, DO
National Provider Directory
- Tax ID family
- St Mary'S Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
701 Lewiston Street
Cottonwood, ID 83522-9750
Mailing address
PO Box 137
Cottonwood, ID 83522-0137
Phone (208) 962-3251
Other names
- St. Mary's Hospital Physical Therapy
Other providers in Cottonwood, ID
- Bernadette Jamie Rundhaug
- Jamie Scheffler
- Alvin Jackson Secrest III
- Ronald L Sigler
- Joseph Smith
- St. Mary'S Hospital Inc
- St. Mary'S Hospital Inc
- St. Mary'S Hospital Inc
- St. Mary'S Hospital Inc
- St. Mary'S Hospital Inc
All providers in Cottonwood, ID · Physical Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.