Organization
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.
Active
Other names
Kaniksu Community Health
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN KNEPPER (CEO)
(208) 263-3410
Entity
Organization
Contact information
Practice address
6612 COMANCHE ST, BONNERS FERRY, ID 83805-7523
(208) 263-7101
Mailing address
PO BOX 2160, SANDPOINT, ID 83864-0908
(208) 263-7101
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
02/19/2024
Last updated
08/26/2024
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