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BOUNDARY COMMUNITY HOSPITAL
NPI 1215082565
Pharmacy - Long Term Care Pharmacy in Bonners Ferry, ID

Active since January 25, 2007CLIA 13D0056658 · Certificate of Compliance
6640 KANIKSU ST, BONNERS FERRY, ID 83805(208) 267-4850(208) 267-2202 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Boundary Community Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOUNDARY COMMUNITY HOSPITAL (NPI 1215082565) is a healthcare organization registered as a long term care pharmacy in Bonners Ferry, Idaho and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through May 17, 2027 and lists April D Bennett, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215082565
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameBOUNDARY COMMUNITY HOSPITAL
Location Address6640 KANIKSU STBonners Ferry, ID 83805-7532
Mailing Address6640 Kaniksu StBonners Ferry, ID 83805-7532 · (208) 267-4850 · Fax (208) 267-2202
Phone(208) 267-4850
Fax(208) 267-2202
Organization SubpartNo
Authorized OfficialApril D BennettCeo · (208) 267-4850
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJune 28, 2022
NPPES CertifiedJune 28, 2022
✔ NPI 1215082565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed · 745 HP & 1172 PA
Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

6640 KANIKSU ST, Bonners Ferry, ID 83805
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Other Identifiers 1

Medicaid002810400ID

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 13D0056658

Boundary Community Hospital · Bonners Ferry, ID
Active · expires May 17, 2027
CLIA Number13D0056658
Laboratory TypeHospital
Certificate Effective DateMay 18, 2025
Certificate Expiration DateMay 17, 2027
Laboratory DirectorDr. Gregory Botkin
Laboratory Phone(208) 267-4853
Laboratory LocationBoundary Community Hospital6640 Kaniksu St, Bonners Ferry, ID 83805
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 13D2189262

Boundary Community Hospital Extended Care · Bonners Ferry, ID
Expired · Jul 27, 2026
CLIA Number13D2189262
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 28, 2024
Certificate Expiration DateJuly 27, 2026
Laboratory DirectorGregory Botkin
Laboratory Phone(208) 267-4847
Laboratory LocationBoundary Community Hospital Extended Care6640 Kaniksu St, Bonners Ferry, ID 83805
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RILEY DIEHL DO
Internal Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-3141
MARK PRUITT D.O.
Emergency Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-3141
BOUNDARY COMMUNITY HOSPITAL
Skilled Nursing Facility
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-4850
MATTHEW WALLACE JOHNSON DO
Emergency Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-3141
ROBERT YOST MD
Emergency Medicine
6640 KANIKSU ST, BOUNDAR COMMUNITY HOSPITAL
BONNERS FERRY, ID 83805
Boundary County (208) 267-3141
DR. WILLIAM PAUL DIEHL IV D.O.
Internal Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-3141
MRS. MELANIE HELMS RN
Registered Nurse (Medical-Surgical)
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-3141
BOUNDARY COMMUNITY HOSPITAL
Medicare Defined Swing Bed Unit
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-4850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boundary Community Hospital's NPI number?

The NPI number for Boundary Community Hospital is 1215082565. It was assigned to this organization in the NPPES registry on January 25, 2007.

Where is Boundary Community Hospital located?

Boundary Community Hospital is located at 6640 Kaniksu St, Bonners Ferry, ID 83805. The listed phone number is (208) 267-4850.

What is Boundary Community Hospital's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Boundary Community Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 13D0056658) is associated with this NPI, valid through May 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Boundary Community Hospital was last updated on June 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.