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Clearwater Valley Hospital & Clinics Inc.

Organization Active NPI Critical Access Hospital · Orofino, ID

NPI 1255449013 · NPPES record last updated Aug 10, 2026

Key facts

NPI
1255449013
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
Legal business name
CLEARWATER VALLEY HOSPITAL & CLINICS INC.
Practice address
301 Cedar St
Orofino, ID 83544-9029
Phone
(208) 476-4555
Fax
(208) 476-5385
NPI assigned
Aug 29, 2006
Organization subpart
Yes
Parent organization (as reported)
KOOTENAI HEALTH, INC.

Authorized official

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

Owners & managing parties with NPI records 4

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

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 3

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

Corporate family (same tax ID) 9

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

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

Facilities with the same owner 7

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

Practitioners 91

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 91

Affiliated clinicians 111

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

View all 111

Medicare Care Compare: Hospital

Listed as
Clearwater Valley Hospital & Clinics CCN 131320
Overall star rating
★★☆☆☆ 2 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ID

Hospital certification: CCN 131320

Legal name
CLEARWATER VALLEY HOSPITAL & CLINICS
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 1, 2003
Last certification
Dec 11, 2020
Beds
23
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Enrollment address
301 Cedar St
Orofino, ID 83544-9029

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 Director
Board Member		 Apr 1, 2020
Lenne J Bonner
Individual 		Corporate Officer
Ceo		 Oct 29, 2007
W-2 Managing Employee
Ceo		 Oct 29, 2007
Rene Forsman
Individual 		Corporate Director
Board Member		 Apr 1, 2020
Jon Ness
Individual 		Other
Ceo		 Apr 1, 2020
Leonard Hill
Individual 		Corporate Director
Board Member		 Apr 1, 2020
Matt Sartini
Individual 		Corporate Director
Board Member		 Apr 1, 2020
Barbara Jean Glodowski
Individual 		Corporate Director
Board Member		 Apr 1, 2020
Lisa Maurer
Individual 		Corporate Director
Board Member		 Apr 1, 2020
Christina Ulmer
Individual 		Corporate Director
Board Member		 Apr 1, 2020
Clarence J Brunson
Individual 		Corporate Director
Board 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 Director
Board Member		 Apr 1, 2020
Kimberly Ingram
Individual 		Corporate Director
Board Member		 Apr 1, 2020
Kelly J McGrath
Individual 		Corporate Director
Board Member		 Apr 1, 2020

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20061104000428 ID Part a Provider - Critical Access Hospital 0547173346 Receives reassigned benefits from 81 practitioners
4 other NPIs on this enrollment
Practice locations: Orofino, ID

National Provider Directory

Tax ID family
Clearwater Valley Hosp (10 organizations share this tax ID)

Interoperability endpoints

  • Direct secure messaging: charityrobinson@cvhcsmh.medalliesdirect.net
  • Direct secure messaging: phebealley@cvhcsmh.medalliesdirect.net
  • Direct secure messaging: allyloveland@cvhcsmh.medalliesdirect.net
  • Direct secure messaging: jacobfoster@cvhcsmh.medalliesdirect.net
  • Direct secure messaging: peternelson@cvhcsmh.medalliesdirect.net
  • Direct secure messaging: vanessabrown@cvhcsmh.medalliesdirect.net
  • Direct secure messaging: limaann@cvhcsmh.medalliesdirect.net
  • Direct secure messaging: shellyfrayser@cvhcsmh.medalliesdirect.net
  • Direct secure messaging: janefore@cvhcsmh.medalliesdirect.net
  • Direct secure messaging: nicolewalls@cvhcsmh.medalliesdirect.net
  • Direct secure messaging: sethlukens@cvhcsmh.medalliesdirect.net
  • Direct secure messaging: suzannekangas@cvhcsmh.medalliesdirect.net
  • Direct secure messaging: jakefoster@cvhcsmh.medalliesdirect.net
  • Direct secure messaging: markackerman@cvhcsmh.medalliesdirect.net
  • Direct secure messaging: kellymcgrath@cvhcsmh.medalliesdirect.net
  • Direct secure messaging: lauranoyes@cvhcsmh.medalliesdirect.net
  • Direct secure messaging: colleensholar@cvhcsmh.medalliesdirect.net
  • Direct secure messaging: rebeccakatzman@cvhcsmh.medalliesdirect.net
  • Direct secure messaging: annafox@cvhcsmh.medalliesdirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X ID Yes

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 identifiers

IdentifierTypeStateIssuer
805062500MedicaidID

Other providers in Orofino, ID

All providers in Orofino, ID · Critical Access Hospital in Idaho

Sources for this page

Verify at the official NPI Registry.