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Boundary Regional Community Health Center Inc — NPI 1316549116, Ponderay, ID | NPI Central

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NPI 1316549116

OrganizationActive

Boundary Regional Community Health Center Inc

NPI 1316549116 · Non-Pharmacy Dispensing Site · Ponderay, ID

Provider details

NPI number: 1316549116
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Organization subpart: No
Authorized official: Kevin Knepper, Ceo(208) 263-3410

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000X
Suppliers

Practice location

30410 Highway 200

Ponderay, ID 83852-9601

Phone: (208) 265-6252

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

Po Box 2160

Sandpoint, ID 83864-0908

Other names (DBA / former)

Doing business as: Kaniksu Health Services, Inc.
Doing business as: Kaniksu Health Services, Inc.

Registry dates

Enumerated: 2020-11-16
Last updated: 2020-11-30
Certified: 2020-11-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.