Organization Name: | BOUNDARY COMMUNITY HOSPITAL |
NPI Number: | 1801273552 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRAIG A JOHNSON (CEO) |
Mailing Address: | 6641 Kaniksu St Bonners Ferry |
State: | ID US |
Postal Code: | 838057532 |
Phone Number: | 2082673655 |
Fax Number: | 2082673757 |
NPI Enumeration Date: | 05/01/2015 |
NPI Last Update Date: | 08/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 43 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |