Organization
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.
Active
Other names
Kaniksu Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI MCCLELLAN (CHIEF EXECUTIVE OFFICER)
(208) 267-1718
Entity
Organization
Contact information
Practice address
6635 COMANCHE ST, BONNERS FERRY, ID 83805-7523
(208) 267-1718
(208) 267-7739
Mailing address
6635 COMANCHE ST, BONNERS FERRY, ID 83805-7523
(208) 267-1718
(208) 267-7739
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/29/2006
Last updated
02/27/2008
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