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KANIKSU HEALTH SERVICES, INC.
NPI 1316549116
Non-Pharmacy Dispensing Site in Ponderay, ID

Active since November 16, 2020
30410 HIGHWAY 200, PONDERAY, ID 83852(208) 265-6252 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2020, Nov 16, 2020 (2 updates tracked since 2020).

About Kaniksu Health Services, Inc. NPPES

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

KANIKSU HEALTH SERVICES, INC. (NPI 1316549116) is a healthcare organization registered as a non-pharmacy dispensing site in Ponderay, Idaho and active in the NPI registry since November 2020. The organization lists Kevin Knepper, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316549116
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameBOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC
Location Address30410 HIGHWAY 200Ponderay, ID 83852-9601
Mailing AddressPo Box 2160Sandpoint, ID 83864-0908
Phone(208) 265-6252
Organization SubpartNo
Authorized OfficialKevin KnepperCeo · (208) 263-3410
Enumeration DateNovember 16, 2020
Last NPPES UpdateNovember 30, 20202 updates tracked since enumeration
NPPES CertifiedNovember 30, 2020
✔ NPI 1316549116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
30410 HIGHWAY 200, Ponderay, ID 83852
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Other Names 1

Doing Business AsKaniksu Health Services, Inc.

Other Providers at the Same Location NPPES 13

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

DR. NANCY J SCHMIDT PHD, CADC, MAC, CHES
Counselor (Addiction (Substance Use Disorder))
30410 HIGHWAY 200
PONDERAY, ID 83852
Bonner County (208) 263-7101
BRADLEY OWENS PHARM D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
30410 HIGHWAY 200
PONDERAY, ID 83852
Bonner County (208) 263-7101
DR. DANIEL GRANT FREEMAN JEFFERIES DMD
Dentist
30410 HIGHWAY 200
PONDERAY, ID 83852
Bonner County (208) 263-7101
MR. ADAM KUSLER LCSW
Social Worker (Clinical)
30410 HIGHWAY 200
PONDERAY, ID 83852
Bonner County (208) 263-7101
MEGAN DELANEY-JOHNSON
Social Worker
30410 HIGHWAY 200
PONDERAY, ID 83852
Bonner County (208) 263-7101
LINSEY LADONNA KUCHERRY
Massage Therapist
30410 HIGHWAY 200
PONDERAY, ID 83852
Bonner County (208) 263-3211
MICHELLE POELSTRA
Registered Nurse (General Practice)
30410 HIGHWAY 200
PONDERAY, ID 83852
Bonner County (208) 263-3211
JADE DARDINE MD
Family Medicine
30410 HIGHWAY 200
PONDERAY, ID 83852
Bonner County (208) 263-7101

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 Regional Community Health Center Inc's NPI number?

The NPI number for Boundary Regional Community Health Center Inc is 1316549116. It was assigned to this organization in the NPPES registry on November 16, 2020. The provider is doing business as Kaniksu Health Services, Inc..

Where is Boundary Regional Community Health Center Inc located?

Boundary Regional Community Health Center Inc is located at 30410 Highway 200, Ponderay, ID 83852. The listed phone number is (208) 265-6252.

What is Boundary Regional Community Health Center Inc's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Boundary Regional Community Health Center Inc was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.