St. Mary'S Hospital Inc
Organization Active NPI Institutional Pharmacy · Cottonwood, ID
NPI 1992994024 · NPPES record last updated Aug 10, 2026
Key facts
- NPI
- 1992994024
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Institutional Pharmacy 3336I0012X
- License
- 650HP (ID)
- Legal business name
- ST. MARY'S HOSPITAL INC
- Practice address
- 701 Lewiston St
Cottonwood, ID 83522 - Phone
- (208) 962-3251
- Fax
- (208) 962-3722
- NPI assigned
- Oct 15, 2007
- 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 |
|---|---|---|---|---|
| Institutional Pharmacy | 3336I0012X | 650HP | ID | Yes |
Addresses
Primary practice location
701 Lewiston St
Cottonwood, ID 83522
Mailing address
PO Box 137
Cottonwood, ID 83522-0137
Phone (208) 962-3251
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002283300 | Medicaid | ID |
Other providers in Cottonwood, ID
- St. Mary'S Hospital Inc
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- Dennis W Tracy
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All providers in Cottonwood, ID · Institutional Pharmacy 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.