# BOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kaniksu Health Services, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316549116
- **Authorized official:** KEVIN KNEPPER (CEO)
- **Authorized official phone:** (208) 263-3410

## Contact information

- **Practice address:** 30410 HIGHWAY 200, PONDERAY, ID 83852-9601
- **Practice address phone:** (208) 265-6252
- **Mailing address:** PO BOX 2160, SANDPOINT, ID 83864-0908

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 11/16/2020
- **Last updated:** 11/30/2020