Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boundary Community Hospital

Organization Emergency Medical Services (Emergency Medicine) Physician · NPI 1679621098

Boundary Community Hospital is an Emergency Medical Services (Emergency Medicine) Physician in Bonners Ferry, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
Specialties on file
5

Practice location Address checks out

6640 Kaniksu St
Bonners Ferry, ID 83805-7532
Phone: (208) 267-4850
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary) Taxonomy 207PE0004X · Licence 43 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence 43 (ID)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 43 (ID)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 43 (ID)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 43 (ID)

Record details

NPI number1679621098
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official April Bennett — Ceo · (208) 267-4850
NPI enumeratedJanuary 8, 2007
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022
Mailing address6640 Kaniksu St, Bonners Ferry, ID 83805-7532