Boundary Regional Community Health Center Inc

NPI 1306883244 - Family Medicine - 207Q00000X

NPI Details
NPI 1306883244
Enumeration Date 05/31/2006
Last Updated 07/09/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name VICKI VICKI
Position CHIEF EXECUTIVE OFFICER
Phone (208) 267-1718
Fax (208) 267-7739
Practice Location
6615 COMANCHE ST
BONNERS FERRY ID, 83805, US
Phone (208) 267-1718
Fax (208) 267-7739
Business Location
30410 HIGHWAY 200
PONDERAY ID, 83852-9601, US
Phone (208) 263-3410
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Boundary Regional Community Health Center Inc NPI is 1306883244, taxonomy code is 207Q00000X Boundary Regional Community Health Center Inc physically located at 6615 Comanche St, Bonners Ferry ID, 83805. NPI Number 1033115704 has the healthcare provider type.

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1306883244 NPI number is provided on an as is basis without warranty of any kind. 1306883244 is maintained by the National Plan & Provider Enumeration System. The contents of Boundary Regional Community Health Center Inc are for informational purposes only.