Organization
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC
Active
Other names
Kaniksu Community Health
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN KNEPPER (CHIEF EXECUTIVE OFFICER)
(208) 263-3410
Entity
Organization
Contact information
Practice address
6615 COMANCHE ST, BONNERS FERRY, ID 83805
(208) 267-1718
(208) 267-7739
Mailing address
PO BOX 2160, SANDPOINT, ID 83864-0908
(208) 263-3410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010142695
REGENCE OF IDAHO GROUP
ID
01
—
0176255
WA LABOR AND INDUSTRY
WA
01
—
131822
MEDICARE FQHC
—
05
—
806590100
—
ID
01
—
806591800
HEALTHY CONNECTIONS
ID
01
—
807823200
HEALTHY CONNECTIONS
ID
01
—
8905326
WA L AND I CRIME VICTIMS
WA
01
—
8H104
BLUE CROSS OF IDAHO GROUP
ID
01
—
DB1056
RAILROAD MEDICARE
—
Enumeration date
05/31/2006
Last updated
12/03/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us