Organization Name: | BOUNDARY COMMUNITY HOSPITAL |
NPI Number: | 1801896683 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRAIG A JOHNSON (CEO/CFO) |
Mailing Address: | 6640 Kaniksu St Bonners Ferry |
State: | ID US |
Postal Code: | 838057532 |
Phone Number: | 2082673141 |
Fax Number: | 2082670660 |
NPI Enumeration Date: | 07/22/2005 |
NPI Last Update Date: | 01/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 43 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |