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KANIKSU HEALTH SERVICES
NPI 1770649154
Clinic/Center - Federally Qualified Health Center (FQHC) in Bonners Ferry, ID

Active since December 29, 2006CLIA 13D0998442 · Microscopy
6635 COMANCHE ST, BONNERS FERRY, ID 83805(208) 267-1718(208) 267-7739 Get Directions Write a Review

NPPES record last updated: February 27, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kaniksu Health Services NPPES

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

KANIKSU HEALTH SERVICES (NPI 1770649154) is a healthcare organization registered as a federally qualified health center (fqhc) in Bonners Ferry, Idaho and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through January 21, 2027 and lists Vicki Mcclellan, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1770649154
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.
Location Address6635 COMANCHE STBonners Ferry, ID 83805-7523
Mailing Address6635 Comanche StBonners Ferry, ID 83805-7523 · (208) 267-1718 · Fax (208) 267-7739
Phone(208) 267-1718
Fax(208) 267-7739
Organization SubpartNo
Authorized OfficialVicki McclellanChief Executive Officer · (208) 267-1718
Enumeration DateDecember 29, 2006
Last NPPES UpdateFebruary 27, 2008
✔ NPI 1770649154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
6635 COMANCHE ST, Bonners Ferry, ID 83805
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Other Names 1

Doing Business AsKaniksu Health Services

Other Identifiers 1

Medicare ID-Type Unspecified131828ID · Fqhc Provider Number

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 13D0998442

Kaniksu Health Services-Bonners Ferry · Bonners Ferry, ID
Active · expires Jan 21, 2027
CLIA Number13D0998442
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorLigeia Reinhardt
Laboratory Phone(208) 267-1718
Laboratory LocationKaniksu Health Services-Bonners Ferry6615 Comanche St, Bonners Ferry, ID 83805
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

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

DEAN A CHAPEL PA-C
Physician Assistant
6635 COMANCHE ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-1718
DR. JENNIFER F GARWICK M.D.
Internal Medicine
6635 COMANCHE ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-1718
DR. JOHN FRIESEN M.D.
Family Medicine
6635 COMANCHE ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-1718
MARILYN STRAND M.D.
Internal Medicine
6635 COMANCHE ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-1718

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 1770649154. It was assigned to this organization in the NPPES registry on December 29, 2006. The provider is doing business as Kaniksu Health Services.

Where is Boundary Regional Community Health Center, Inc. located?

Boundary Regional Community Health Center, Inc. is located at 6635 Comanche St, Bonners Ferry, ID 83805. The listed phone number is (208) 267-1718.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Boundary Regional Community Health Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D0998442) is associated with this NPI, valid through January 21, 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 Regional Community Health Center, Inc. was last updated on February 27, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.