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1114814720 NPI number — BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.

NPI Number: 1114814720
Health Care Provider/Practitioner: BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.

Information about “1114814720” NPI (BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.) exists in 1114814720 in HTML format HTML  |  1114814720 in plain Text format TXT  |  1114814720 in PDF (Portable Document Format) PDF  |  1114814720 in an XML format XML  formats.

NPI Number : 1114814720 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114814720",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.",
    "ParentOrgTIN": null,
    "OrgName": "BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 2160",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SANDPOINT",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83864-0908",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "208-263-3410",
    "MailingAddressFaxNumber": "208-263-7198",
    "FirstLinePracticeLocationAddress": "6509 HIGHWAY 2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PRIEST RIVER",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83856-6633",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "208-448-2321",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/18/2025",
    "LastUpdateDate": "06/18/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KNEPPER",
    "AuthorizedOfficialFirstName": "KEVIN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "208-263-3410",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3336C0003X",
        "TaxonomyName": "Community/Retail Pharmacy",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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