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) 263-7101
Entity
Organization
Contact information
Practice address
810 N. SIXTH AVENUE, SANDPOINT, ID 83864
(208) 263-7101
Mailing address
PO BOX 2160, SANDPOINT, ID 83864-0908
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/18/2014
Last updated
01/11/2022
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