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

Boundary Regional Community Health Center, Inc

Organization Pediatrics Physician · NPI 1699172262

Boundary Regional Community Health Center, Inc is a Pediatrics Physician in Bonners Ferry, Idaho. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6833 El Paso St
Bonners Ferry, ID 83805-8569
Phone: (208) 265-2242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1699172262
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vicki King — Ceo · (208) 263-7101
Other names Kaniksu Health Services
NPI enumeratedNovember 26, 2014
Last updated in NPPESApril 17, 2017
Mailing addressPo Box 2160, Sandpoint, ID 83864-0908

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