Boundary Regional Community Health Center, Inc.
NPI #1770649154 in Bonners Ferry, Idaho
Provider Information
- NPI Number
- 1770649154
- Entity Type
- Organization
- Organization Name
- Boundary Regional Community Health Center, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Dec 29, 2006
- Last Updated
- Feb 27, 2008
Practice Location
- Address
- 6635 COMANCHE ST
- City
- Bonners Ferry
- State
- Idaho
- ZIP Code
- 83805-7523
- Phone
- (208) 267-1718
Authorized Official
- Name
- VICKI MCCLELLAN
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (208) 267-1718
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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