Boundary Regional Community Health Center, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Sandpoint, ID
NPI 1811054877 · NPPES record last updated Jun 2, 2026
Key facts
- NPI
- 1811054877
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.
- Practice address
- 1033 Baldy Mountain Rd
Sandpoint, ID 83864-9202 - Phone
- (208) 263-7101
- Fax
- (208) 263-7198
- NPI assigned
- Jan 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Kevin Knepper
- Title
- Chief Executive Officer
- Phone
- (208) 263-3410
Owned or controlled facilities with NPI records 2
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 5
Practitioners 24
-
Sara Marie Fisher, NP-C
-
Ligeia A Reinhardt, M.D.
-
Eric Daniel Ward, FNP-C
-
Dean Michael Jennings, LCSW
-
Caleb Jesse Orr, LPC
-
Nelson Antoniuk, MD
-
Joshua Aaron Barnes, J.D., L.C.S.W.
-
Jordan Thomas Lauby, PA-C
-
David Scott Moran, FNP-C
-
Sarah Rains, PA-C
-
Kimberly Amelia Rutland, WHNP
-
Kendell Ann Simm, PA-C
-
Pamela Skon, LICSW
-
Tiffany A Ward, ARNP, FNP-C
-
Susanne Wimberley, LMSW
-
Michele Shain, LCSW
-
Tammy Lynn Undiemi, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ID
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
- Corporation · Non-profit
- Incorporated
- Mar 29, 2002 in ID
- Enrollment address
- 1033 Baldy Mountain Rd
Sandpoint, ID 83864-9202
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Sheila Farmin-Aumick |
Corporate Officer | Nov 1, 2010 | |
| Kevin Knepper |
Corporate Director |
Sep 1, 2019 | |
| W-2 Managing Employee |
Sep 1, 2019 | ||
| Joe English |
Corporate Officer | Oct 1, 2012 | |
| Matthew Williams |
Corporate Director |
Oct 1, 2018 | |
| Timothy Kaufman |
Corporate Officer |
Aug 1, 2025 | |
| W-2 Managing Employee |
Aug 1, 2025 | ||
| Mary Reader |
Corporate Officer | May 1, 2012 |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Kaniksu Community Health |
Federally qualified health center | Operational/Managerial Control (100%) | Mar 29, 2002 |
| Kaniksu Community Health |
Federally qualified health center | Operational/Managerial Control (100%) | Mar 29, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Boundary Regional Community Health Center Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes | ||
| 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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB1056 | Other | RAILROAD MEDICARE | |
| 8065901 | Medicaid | ID |
Other names
- Kaniksu Community Health
Other providers in Sandpoint, ID
- Dawn Borkowski
- Patsy Botoms
- Lou Ann Bottomly
- Boundary Regional Community Health Center Inc
- Boundary Regional Community Health Center, Inc.
- Margaret McNeer Bowden
- Quincy Rae Boyce
- Sally V Brennan Ash
- Diana Elizabeth Brewer
- Brianna Thoreson, MSW, LCSW, PLLC
All providers in Sandpoint, ID · Federally Qualified Health Center (FQHC) in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.