National Provider Identifier Database

BOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

BOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC
6615 COMANCHE ST
BONNERS FERRY, ID83805
Phone: 208-267-1718
Fax: 208-267-7739
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for BOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC

NPI Number 1306883244
Legal business name
LBN
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC
Authorized official KEVIN KNEPPER - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 05/31/2006
Last updated 12/03/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • ID Medicaid: 806590100
  • Other: 131822 MEDICARE FQHC
  • Other: DB1056 RAILROAD MEDICARE
  • ID Other: 8H104 BLUE CROSS OF IDAHO GROUP
  • ID Other: 806591800 HEALTHY CONNECTIONS
  • ID Other: 807823200 HEALTHY CONNECTIONS
  • ID Other: 000010142695 REGENCE OF IDAHO GROUP
  • WA Other: 8905326 WA L AND I CRIME VICTIMS
  • WA Other: 0176255 WA LABOR AND INDUSTRY

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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