OrganizationActive
Boundary Regional Community Health Center, Inc.
NPI 1770649154 · Federally Qualified Health Center (FQHC) · Bonners Ferry, ID
Provider details
- NPI number
- 1770649154
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Vicki Mcclellan, Chief Executive Officer(208) 267-1718
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
6635 Comanche St
Bonners Ferry, ID 83805-7523
Phone: (208) 267-1718
Fax: (208) 267-7739
Approximate (ZIP-level) locationGet directions
Mailing address
6635 Comanche St
Bonners Ferry, ID 83805-7523
Other names (DBA / former)
- Doing business as
- Kaniksu Health Services
Registry dates
- Enumerated
- 2006-12-29
- Last updated
- 2008-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.