# BOUNDARY COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679621098
- **Authorized official:** APRIL D BENNETT (CEO)
- **Authorized official phone:** (208) 267-4850

## Contact information

- **Practice address:** 6640 KANIKSU ST, BONNERS FERRY, ID 83805-7532
- **Practice address phone:** (208) 267-4850
- **Mailing address:** 6640 KANIKSU ST, BONNERS FERRY, ID 83805-7532
- **Mailing address phone:** (208) 267-4850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 43 | ID | Yes |
| 207Q00000X | Family Medicine Physician | 43 | ID | — |
| 207RC0000X | Cardiovascular Disease Physician | 43 | ID | — |
| 207X00000X | Orthopaedic Surgery Physician | 43 | ID | — |
| 2085R0202X | Diagnostic Radiology Physician | 43 | ID | — |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 06/28/2022