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Organization
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC
Active
Organization
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC
Active
Other names
Kaniksu Health Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN KNEPPER (CEO)
(208) 263-3410
Entity
Organization
Contact information
Practice address
30410 HIGHWAY 200, PONDERAY, ID 83852-9601
(208) 265-6252
Mailing address
PO BOX 2160, SANDPOINT, ID 83864-0908
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
Other
Enumeration date
11/16/2020
Last updated
11/30/2020
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