BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC. (NPI# 1316343320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316343320 |
| Entity Type | Organization |
| Organization Name | BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC. |
| Other Organization Name | KANIKSU HEALTH SERVICES |
| Practice Address |
420 N 2nd Ave Suite 100 Sandpoint ID 83864-1565 |
| Mailing Address |
Po Box 2160 Sandpoint ID 83864-0908 |
| Practice Telephone | 2082652242 |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2017-04-19 |
| Authorized Official Name | VICKI KING (CEO) |
| Authorized Official Telephone | 2082637101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kaniksu Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699172262 | Boundary Regional Community Health Center, Inc. | Pediatrics | 6833 El Paso St, Bonners Ferry, ID 83805-8569 | 2014-11-26 |
| 1538447727 | Boundary Regional Community Health Center, Inc. | Nurse Practitioner | 6509 Highway 2, Suite 101, Priest River, ID 83856-6609 | 2011-07-22 |
| 1811054877 | Boundary Regional Community Health Center, Inc. | Clinic/Center | 30410 Highway 200, Ponderay, ID 83852-9601 | 2007-01-02 |
| 1770649154 | Boundary Regional Community Health Center, Inc. | Clinic/Center | 6635 Comanche St, Bonners Ferry, ID 83805-7523 | 2006-12-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC. | 6635 Comanche St, Bonners Ferry, ID 83805-7523 |
| Street Address |
420 N 2ND AVE SUITE 100 |
| City | SANDPOINT |
| State | ID |
| Zip Code | 83864-1565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497781702 | Camille Marie Santarpio | Obstetrics & Gynecology | 420 N 2nd Ave, Sandpoint, ID 83864-1565 | 2006-06-26 |
| 1457778151 | Beth Elisha Miller | Physician Assistant | 420 N 2nd Ave, Sandpoint, ID 83864-1565 | 2014-03-20 |
| 1871925834 | Mallorie Ely | Social Worker | 420 N 2nd Ave, Sandpoint, ID 83864-1565 | 2013-08-01 |
| 1851738041 | Teresa Ann Kuhta | Pediatrics | 420 N 2nd Ave, Suite 100, Sandpoint, ID 83864-1565 | 2013-05-28 |
| 1760691851 | Echo T Vanderwal | Physician Assistant | 420 N 2nd Ave, Ste 100, Sandpoint, ID 83864-1565 | 2007-05-22 |
| 1881803971 | Harry Ralph Vanderwal Jr. | Pediatrics | 420 N 2nd Ave, Ste 100, Sandpoint, ID 83864-1565 | 2007-05-22 |
| 1700968724 | John M Seaman | Pediatrics | 420 N 2nd Ave, Sandpoint Pediatrics - Kaniksu Health Services, Sandpoint, ID 83864-1565 | 2006-10-19 |
| 1497789085 | James Harvey Watts IIi | Obstetrics & Gynecology | 420 N 2nd Ave, Sandpoint, ID 83864-1565 | 2006-07-10 |
| 1689604993 | Bruce Whitley Honsinger | Obstetrics & Gynecology | 420 N 2nd Ave, Suite 200, Sandpoint, ID 83864-1552 | 2006-07-03 |
| 1114954179 | Sandpoint Pediatrics LLP | Pediatrics | 420 N 2nd Ave, 100, Sandpoint, ID 83864-1552 | 2006-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842600 | Deblaquiere Enterprises, Inc. | Pharmacy | 1319 Hwy 2, Suite A, Sandpoint, ID 83864 | 2020-05-07 |
| 1245867670 | Kimberly Sue Batchelder | Massage Therapist | Sandpoint Medical Massage & Bodyworks, LLC, 515 Pine Street Ste G., Sandpoint, ID 83864 | 2020-03-25 |
| 1699309963 | Ckam Rejuvenation Center LLC | Massage Therapist | 1315 Us-2, #5, Sandpoint, ID 83864 | 2020-02-26 |
| 1427602986 | Alpine Hand Therapy Inc | Physical Medicine & Rehabilitation | 1205 Hwy 2, Suite 102, Sandpoint, ID 83864 | 2019-08-01 |
| 1295388536 | Momentum Medical Massage and Personal Training, LLC | Massage Therapist | 1013 W Lake St, Sandpoint, ID 83864 | 2019-07-16 |
| 1629508932 | Karen Elizabeth Vollmer-poseley | Counselor | 506 N. 4th Ave, Sandpoint, ID 83864 | 2017-06-19 |
| 1760912042 | Gregory Jon Anthony Prins | Dentist | 1305 Highway 2 West, Sandpoint, ID 83864 | 2017-06-19 |
| 1730547084 | Charity Catlin | Midwife | 204 N 4th Ave #2355, Sandpoint, ID 83864 | 2016-02-02 |
| 1497148860 | Loftus Family Dental - Sandpoint Pllc | Dentist | 1310 Ponderosa Drive, Suite A, Sandpoint, ID 83864 | 2015-03-10 |
| 1215365523 | Tamarack Treatment and Counseling Center, Pllc | Counselor | 101 N. Boyer Ave, Sandpoint, ID 83864 | 2013-10-23 |
| Find all providers in zip 83864 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1225517055 | Community Health Clinics, Inc. | Clinic/Center | 4085 E Greenhurst Rd, Nampa, ID 83686-8657 | 2018-08-13 |
| 1982183687 | Community Health Clinics, Inc. | Clinic/Center | 301 S Happy Valley Rd, Nampa, ID 83687-8828 | 2018-08-13 |
| 1396249546 | Community Health Clinic Inc. | Clinic/Center | 521 Carrie Rex, Melba, ID 83641 | 2018-03-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.