Organization
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.
Active
Other names
Kaniksu Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI KING (CEO)
(208) 263-7101
Entity
Organization
Contact information
Practice address
6833 EL PASO ST, BONNERS FERRY, ID 83805-8569
(208) 265-2242
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
11/26/2014
Last updated
04/17/2017
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