Boundary Regional Community Health Center INC

NPI #1316549116 in Ponderay, Idaho

Provider Information

NPI Number
1316549116
Entity Type
Organization
Organization Name
Boundary Regional Community Health Center INC
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Nov 16, 2020
Last Updated
Nov 30, 2020

Practice Location

Address
30410 HIGHWAY 200
State
Idaho
ZIP Code
83852-9601
Phone
(208) 265-6252

Authorized Official

Name
KEVIN KNEPPER
Title
CEO
Phone
(208) 263-3410

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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