NPI age
19 years
Enumerated 2007-01-25
● Active Type 2 · Organization
Boundary Community Hospital
Boundary Community Hospital is 1 of 48 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bennett
Ceo
Last NPPES update
2022-06-28
Source: monthly bulk 2026-05
How this organization compares
Across 48 active pharmacy providers in Idaho.
NPI age
19 years
↑ 13 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
6640 Kaniksu St
Bonners Ferry, ID 838057532
Mailing address
6640 Kaniksu St
Bonners Ferry, ID 838057532
Authorized official
April D Bennett
Ceo
📞 2082674850
Individual providers at this organization
15 individual providers on file at this primary practice address.
- Jackson Bell, DO Emergency Medicine NPI 1396208070
- Gregory Botkin, MD Family Medicine NPI 1346341351
- Riley Diehl, DO Internal Medicine NPI 1063974871
- William Diehl, D.O. Internal Medicine NPI 1275038093
- Edna Eby, REGISTERED DIETICIAN Dietitian, Registered NPI 1861609588
- Kenton Goh, MD Emergency Medicine NPI 1972547172
- Melanie Helms, RN Registered Nurse NPI 1275404758
- Matthew Johnson, DO Emergency Medicine NPI 1225539182
- Alyssa Matthews, OTR/L Occupational Therapist NPI 1720660160
- Edward Moellmer, MD Family Medicine NPI 1942566195
- Jeffrey Petersen, PT Physical Therapist NPI 1912367251
- Mark Pruitt, D.O. Emergency Medicine NPI 1124432943
- Stuart Willis, MD Emergency Medicine NPI 1679649396
- William Worden, MD Emergency Medicine NPI 1356326805
- Robert Yost, MD Emergency Medicine NPI 1265466361
Specialties
-
Pharmacy PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002810400 |
Practice context
Multi-provider organization. 15 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.