KANIKSU COMMUNITY HEALTH – NPI #1316343320
Clinic/Center

KANIKSU COMMUNITY HEALTH is an AHC clinic located in SANDPOINT, ID. NPPES has assigned the NPI number 1316343320 to KANIKSU COMMUNITY HEALTH on November 18, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KANIKSU COMMUNITY HEALTH” is a dba name, the actual legal business name for this organization is BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 4 years ago on Jan 11, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KANIKSU COMMUNITY HEALTH below.

NPI Profile for
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.

NPI Number
1316343320
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.
Doing Business As (dba): KANIKSU COMMUNITY HEALTH
Primary location
810 N. SIXTH AVENUE
SANDPOINT, ID 83864
Phone: (208) 263-7101 Fax:
Mailing address
PO BOX 2160
SANDPOINT, ID 83864-0908
Phone: Fax:
Organization Subpart
No
Authorized Official
KEVIN KNEPPER
CEO
Phone: (208) 263-7101
Updated
Certification Date
Jan 07, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
208000000X
- Pediatrics

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.