| NPI | 1306883244 |
|---|---|
| Doing Business As | KANIKSU COMMUNITY HEALTH |
| Entity Type | Organization |
| Authorized Contact | KEVIN KNEPPER Chief Executive Officer 208-263-3410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2021-12-03 |