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CAH131301-00 BOUNDARY COMMUNITY HOSPITAL (Active)
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Main Details
Name
BOUNDARY COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH131301-00
Medicare Provider Number
131301
Additional Details
Current Program Status
Active
Registration Date
10/10/2022
Participating Start Date
1/1/2023
Participating Approval Date
11/17/2022
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Boundary Community Hospital
April Bennett, CEO
(208) 267-4850
Primary Contact
Boundary Community Hospital
Melinda Beth Smithson, CFO
(208) 267-6952
Addresses
Street Address
6640 KANIKSU
BONNERS FERRY, ID 83805
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 9/9/2010; Terminated 10/1/2022; Reinstated 1/1/2023.
11/16/2022
April 2025
April 2025
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