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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.

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Contact Information

BOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC
6615 COMANCHE ST
BONNERS FERRY, ID  83805
 Phone: 208-267-1718
 Fax: 208-267-7739
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

 261QF0400X B4[14] Federally Qualified Health Center
 

Family Medicine

 207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC

NPI Number 1306883244
LBN Legal business name BOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC
Authorized official KEVIN KNEPPER - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/31/2006
Last updated 12/03/2021 - About 5 years ago
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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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