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NPI 1316549116
● Active Type 2 · Organization
Boundary Regional Community Health Center Inc
Non-Pharmacy Dispensing Site · Ponderay, ID · NPI 1316549116
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Enumerated 2020 · 5 years on NPI
Boundary Regional Community Health Center Inc is 1 of 14 non-pharmacy dispensing site organizations in Idaho.
NPI age
5 years
Enumerated 2020-11-16
Primary specialty
Non-Pharmacy Dispensing Site
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Knepper
Ceo
Last NPPES update
2020-11-30
Source: monthly bulk 2026-05
How this organization compares
Across 14 active non-pharmacy dispensing site providers in Idaho.
NPI age
5 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2020 → 2026
2020-11 Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
30410 Highway 200
Ponderay, ID 838529601
📞 2082656252
Mailing address
Po Box 2160
Sandpoint, ID 838640908
Authorized official
Kevin Knepper
Ceo
📞 2082633410
Individual providers at this organization
12 individual providers on file at this primary practice address.
Jade Dardine , MD
Family Medicine
NPI 1720493638
Megan Delaney-Johnson
Social Worker
NPI 1295271534
Thomas Fletcher , M.D.
Family Medicine
NPI 1780646661
Kathy Gavin , FNP
Nurse Practitioner
NPI 1770598559
Daniel Jefferies , DMD
Dentist
NPI 1285293167
Linsey Kucherry
Massage Therapist
NPI 1346955259
Adam Kusler , LCSW
Social Worker
NPI 1285953000
Nicholas Miller , D.M.D
Dentist
NPI 1871853739
Amber Moir-Brow , LCSW, ACADC
Social Worker
NPI 1730423815
Bradley Owens , PHARM D
Pharmacist
NPI 1174914121
Michelle Poelstra
Registered Nurse
NPI 1508716283
Nancy Schmidt , PHD, CADC, MAC, CHES
Counselor
NPI 1003102500
Specialties
Non-Pharmacy Dispensing Site
Primary
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.)
taxonomy 332900000X
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Kaniksu Health Services, Inc.
Type code 3
recorded 2020-11-30
Kaniksu Health Services, Inc.
Type code 3
recorded 2020-11-16
Practice context
Multi-provider organization.
12 individual providers on file at this primary address.
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How to verify this organization
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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.