Organization
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC
Active
Other names
Kaniksu Health Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN KNEPPER (CEO)
(208) 263-3410
Entity
Organization
Contact information
Practice address
30410 HIGHWAY 200, PONDERAY, ID 83852-9601
(208) 265-6252
Mailing address
PO BOX 2160, SANDPOINT, ID 83864-0908
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/30/2020
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