| Boundary Regional Community Health Center, Inc. | |
|
1033 Baldy Mountain Rd Sandpoint ID 83864-9202 | |
| (208) 263-7101 | |
| (208) 263-7198 |
| Full Name | Boundary Regional Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1033 Baldy Mountain Rd, Sandpoint, Idaho |
| Authorized Official Name and Position | Kevin Knepper (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2082633410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boundary Regional Community Health Center, Inc. Po Box 2160 Sandpoint ID 83864-0908 Ph: (208) 263-3410 | Boundary Regional Community Health Center, Inc. 1033 Baldy Mountain Rd Sandpoint ID 83864-9202 Ph: (208) 263-7101 |
| NPI Number | 1811054877 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 09/24/2024 |
| Certification Date | 09/24/2024 |
| Medicare PECOS PAC ID | 2264341221 |
|---|---|
| Medicare Enrollment ID | O20050824001104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811054877 | NPI | - | NPPES |
| DB1056 | Other | RAILROAD MEDICARE | |
| 8065901 | Medicaid | ID |
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