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Organization

BOUNDARY COMMUNITY HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
APRIL D BENNETT (CEO)
(208) 267-4850
Entity
Organization

Contact information

Practice address
6640 KANIKSU ST, BONNERS FERRY, ID 83805-7532
(208) 267-4850
Mailing address
6640 KANIKSU ST, BONNERS FERRY, ID 83805-7532
(208) 267-4850

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
43
ID
207Q00000X
Family Medicine Physician
43
ID
207RC0000X
Cardiovascular Disease Physician
43
ID
207X00000X
Orthopaedic Surgery Physician
43
ID
2085R0202X
Diagnostic Radiology Physician
43
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1679621098
ID
Enumeration date
01/08/2007
Last updated
06/28/2022
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