BOUNDARY COMMUNITY HOSPITAL (NPI# 1801273552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801273552 |
| Entity Type | Organization |
| Organization Name | BOUNDARY COMMUNITY HOSPITAL |
| Other Organization Name | BOUNDARY COMMUNITY CLINICS |
| Practice Address |
6641 Kaniksu St Bonners Ferry ID 83805-7532 |
| Mailing Address |
6640 Kaniksu St Bonners Ferry ID 83805-7532 |
| Practice Telephone | 2082673655 |
| Practice Fax Number | 2082673757 |
| Mailing Telephone | 2082673141 |
| Mailing Fax Number | 2082672202 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2019-10-01 |
| Authorized Official Name | PRESTON J BECKER (CEO) |
| Authorized Official Telephone | 2082674850 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
43 | ID | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Boundary Community Clinics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801896683 | Boundary Community Hospital | General Acute Care Hospital | 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2005-07-22 |
| 1215082565 | Boundary Community Hospital | Pharmacy | 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2007-01-25 |
| 1679621098 | Boundary Community Hospital | Family Medicine | 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2007-01-08 |
| 1316022247 | Boundary Community Hospital | Medicare Defined Swing Bed Unit | 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2006-10-26 |
| 1225113152 | Boundary Community Hospital | Skilled Nursing Facility | 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2006-10-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BOUNDARY COMMUNITY HOSPITAL NURSING HOME | 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 |
| Street Address |
6641 KANIKSU ST |
| City | BONNERS FERRY |
| State | ID |
| Zip Code | 83805-7532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063412534 | Michael D Snyder | Family Medicine | 6641 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2005-07-27 |
| 1619592912 | Sara Marie Hull | Nurse Practitioner | 6641 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2020-06-11 |
| 1780910547 | Scott Lacefield | Physician Assistant | 6641 Kaniksu St, Suite A, Bonners Ferry, ID 83805-7532 | 2009-10-28 |
| 1285772699 | Janet Marie Lukehart | Nurse Practitioner | 6641 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2007-02-01 |
| 1134274103 | Main Street Medical LLC | Family Medicine | 6641 Kaniksu St, Suite A, Bonners Ferry, ID 83805-7532 | 2007-01-23 |
| 1356374664 | Chuck Lee Newhouse | Family Medicine | 6641 Kaniksu St, Bonners Ferry, ID 83805-7532 | 2006-07-09 |
| 1871557991 | Susan J Layeux | Family Medicine | 6641 Kaniksu St, Suite A, Bonners Ferry, ID 83805-7532 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366990996 | Nicole Diana Madill | Counselor | 687 Cody Street, Bonners Ferry, ID 83805 | 2016-09-12 |
| 1154770295 | Rachel Meiland Webster | Social Worker | 6686 Augusta Bldg 100, Bonners Ferry, ID 83805 | 2016-06-09 |
| 1205211786 | Robert Rossi | Social Worker | Kaniksu Health Services, 6615 Comanche St, Bonners Ferry, ID 83805 | 2015-07-24 |
| 1154660041 | Mark R. Barker, O.d.p.c. | Optometrist | 7177 Main St., Bonners Ferry, ID 83805 | 2013-02-12 |
| 1003182668 | Jessica Faye Horricks | Dentist | 6615 Commanche, Bonners Ferry, ID 83805 | 2012-03-28 |
| 1427334929 | Tanya Marie Allmaras | Physician Assistant | 6635 Comanche Street, Bonners Ferry, ID 83805 | 2011-10-27 |
| 1114259769 | Joshua Olen Shelton | Chiropractor | 6389 Bonner St., Bonners Ferry, ID 83805 | 2010-02-08 |
| 1558690644 | April C Christman | Social Worker | 6615 Comanche Street, Bonners Ferry, ID 83805 | 2009-12-18 |
| 1407006067 | Denys Taipale-knight | Counselor | 385 Moose Ridge Lane, Bonners Ferry, ID 83805 | 2008-09-19 |
| 1013126457 | John Pierce Brownlee Jr. | Registered Nurse | 6640 Kaniksu Street, Boundary Community Hospital, Bonners Ferry, ID 83805 | 2007-05-22 |
| Find all providers in zip 83805 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376160457 | North Canyon Jerome Clinic | Clinic/Center | 491 Heritage Dr, Jerome, ID 83338-6701 | 2020-07-06 |
| 1063970143 | Idaho Street Medical Clinic | Clinic/Center | 126 Idaho Ave., Homedale, ID 83628-8362 | 2019-03-07 |
| 1568950566 | North Canyon Medical Center, Inc. | Clinic/Center | 718 Hwy 30, Buhl, ID 83316 | 2018-04-25 |
| 1518377019 | North Canyon Medical Center, Inc. | Clinic/Center | 267 N. Canyon Drive, Gooding, ID 83330 | 2014-05-06 |
| 1700206588 | Mvh Bmc LLC | Clinic/Center | 210 S Emerson Ave, Shelley, ID 83274-1229 | 2014-04-21 |
| 1922243088 | Bmh Inc | Clinic/Center | 1355 Parkway Dr, Blackfoot, ID 83221-1656 | 2008-12-03 |
| 1023271731 | Upper Valley Family Medicine Rhc | Clinic/Center | 530 Rigby Lake Dr, Rigby, ID 83442-1271 | 2008-07-03 |
| 1891984167 | Bmh Inc | Clinic/Center | 1425 Parkway Drive, Blackfoot, ID 83221-1758 | 2007-10-23 |
| 1043387426 | Minidoka Memorial Hospital | Clinic/Center | 1308 8th St, Suite 1, Rupert, ID 83350-1530 | 2006-11-29 |
| 1356438816 | Gritman Medical Center Inc | Clinic/Center | 156 6th St, Potlatch, ID 83855 | 2006-10-06 |
| Find all providers with the same taxonomy | ||||
| City | BONNERS FERRY |
| Zip Code | 83805 |
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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.