Organization
BOUNDARY COMMUNITY HOSPITAL
Active
Other names
Boundary Community Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL D BENNETT (CEO)
(208) 267-4850
Entity
Organization
Contact information
Practice address
6641 KANIKSU ST, BONNERS FERRY, ID 83805-7532
(208) 267-3655
(208) 267-3757
Mailing address
6640 KANIKSU ST, BONNERS FERRY, ID 83805-7532
(208) 267-3141
(208) 267-2202
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
43
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801273552
—
ID
Enumeration date
05/01/2015
Last updated
06/28/2022
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