| Boundary Community Clinics | |
|
6641 Kaniksu St Bonners Ferry ID 83805-7532 | |
| (208) 267-3655 | |
| (208) 267-3757 |
| Full Name | Boundary Community Clinics |
|---|---|
| Speciality | Clinic/Center |
| Location | 6641 Kaniksu St, Bonners Ferry, Idaho |
| Authorized Official Name and Position | April D Bennett (CEO) |
| Authorized Official Contact | 2082674850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boundary Community Clinics 6640 Kaniksu St Bonners Ferry ID 83805-7532 Ph: (208) 267-3141 | Boundary Community Clinics 6641 Kaniksu St Bonners Ferry ID 83805-7532 Ph: (208) 267-3655 |
| NPI Number | 1801273552 |
|---|---|
| Provider Enumeration Date | 05/01/2015 |
| Last Update Date | 06/28/2022 |
| Medicare PECOS PAC ID | 3274583406 |
|---|---|
| Medicare Enrollment ID | O20140129001414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801273552 | NPI | - | NPPES |
| 1801273552 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 43 (Idaho) | Primary |
Main Street Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6641 Kaniksu St, Suite A, Bonners Ferry, ID 83805 Phone: 208-265-3655 Fax: 208-267-3757 | |
Kaniksu Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6615 Comanche St, Bonners Ferry, ID 83805 Phone: 208-267-1718 Fax: 208-267-7739 | |
Cornerstone Urgent Care & Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 David Thompson Dr Ste A, Bonners Ferry, ID 83805 Phone: 208-267-3934 | |
Diehl Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6640 Kaniksu St, Bonners Ferry, ID 83805 Phone: 540-454-1848 | |
Kootenai Tribal Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Circle Drive, Bonners Ferry, ID 83805 Phone: 208-267-5223 Fax: 208-267-8419 | |
Kaniksu Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6635 Comanche St, Bonners Ferry, ID 83805 Phone: 208-267-1718 Fax: 208-267-7739 |