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
06/02/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up