| Kaniksu Community Health | |
|
6615 Comanche St Bonners Ferry ID 83805 | |
| (208) 267-1718 | |
| (208) 267-7739 |
| Full Name | Kaniksu Community Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 6615 Comanche St, Bonners Ferry, 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 |
|---|---|
| Kaniksu Community Health Po Box 2160 Sandpoint ID 83864-0908 Ph: (208) 263-3410 | Kaniksu Community Health 6615 Comanche St Bonners Ferry ID 83805 Ph: (208) 267-1718 |
| NPI Number | 1306883244 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 12/03/2021 |
| Medicare PECOS PAC ID | 2264341221 |
|---|---|
| Medicare Enrollment ID | O20030409000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306883244 | NPI | - | NPPES |
| 0176255 | Other | WA | WA LABOR AND INDUSTRY |
| 8H104 | Other | ID | BLUE CROSS OF IDAHO GROUP |
| DB1056 | Other | RAILROAD MEDICARE | |
| 000010142695 | Other | ID | REGENCE OF IDAHO GROUP |
| 8905326 | Other | WA | WA L AND I CRIME VICTIMS |
| 131822 | Other | MEDICARE FQHC | |
| 806590100 | Medicaid | ID | |
| 807823200 | Other | ID | HEALTHY CONNECTIONS |
| 806591800 | Other | ID | HEALTHY CONNECTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | 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 | |
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 | |
Boundary Community Clinics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6641 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-3655 Fax: 208-267-3757 |