NPIMap

Organization Active NPI

Boundary Regional Community Health Center, Inc.

Doing business as Kaniksu Community Health

  • Federally Qualified Health Center (FQHC)
  • Sandpoint, ID
National Provider Identifier
1811054877
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.
Doing business as
Kaniksu Community Health
Practice address
1033 Baldy Mountain Rd
Sandpoint, ID 83864-9202
Phone
(208) 263-7101
Fax
(208) 263-7198
NPI assigned
Jan 2, 2007
Last updated
Jun 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kevin Knepper
Title
Chief Executive Officer
Phone
(208) 263-3410

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1033 Baldy Mountain Rd
Sandpoint, ID 83864-9202

Mailing address

PO Box 2160
Sandpoint, ID 83864-0908
Phone (208) 263-3410

Other names 1

  • Kaniksu Community Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050211000195 ID Part B Supplier - Clinic/Group Practice 2264341221 Receives reassigned benefits from 32 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bonners Ferry, ID; Priest River, ID; Sandpoint, ID
O20050824001104 ID Part A Provider - Federally Qualified Health Center (FQHC) 2264341221 1 other NPI on this enrollment
Practice locations: Sandpoint, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811054877. Details of each certification follow.

Federally qualified health center certification: CCN 131832

Legal name
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC
Doing business as
KANIKSU COMMUNITY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 2, 2005
Last certification
Sep 2, 2005
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Mar 29, 2002 in ID
Enrollment address
1033 Baldy Mountain Rd
Sandpoint, ID 83864-9202

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Boundary Regional Community Health Center Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sheila Farmin-Aumick Individual Corporate Officer Nov 1, 2010
Kevin Knepper Individual Corporate DirectorCeo Sep 1, 2019
W-2 Managing EmployeeCeo Sep 1, 2019
Joe English Individual Corporate Officer Oct 1, 2012
Matthew Williams Individual Corporate DirectorBoard Member Oct 1, 2018
Timothy Kaufman Individual Corporate OfficerCfo Aug 1, 2025
W-2 Managing EmployeeCfo Aug 1, 2025
Mary Reader Individual Corporate Officer May 1, 2012

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kaniksu Community HealthPriest River, ID, CCN 131847 Federally qualified health center Operational/Managerial Control (100%) Mar 29, 2002
Kaniksu Community HealthSandpoint, ID, CCN 131862 Federally qualified health center Operational/Managerial Control (100%) Mar 29, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1811054877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2160",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838640908",
            "telephone_number": "208-263-3410",
            "fax_number": "208-263-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 BALDY MOUNTAIN RD",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838649202",
            "telephone_number": "208-263-7101",
            "fax_number": "208-263-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "KNEPPER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "208-263-3410"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaniksu Community Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandpoint, ID

Sources for this page

Verify at the official NPI Registry.