Organization Name: | BOUNDARY COMMUNITY HOSPITAL |
NPI Number: | 1679621098 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRAIG JOHNSON (CEO, CFO) |
Mailing Address: | 6640 Kaniksu St Bonners Ferry |
State: | ID US |
Postal Code: | 838057532 |
Phone Number: | 2082674850 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 01/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 43 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |