| NPI | 1770649154 |
|---|---|
| Doing Business As | KANIKSU HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | VICKI MCCLELLAN Chief Executive Officer 208-267-1718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2008-02-27 |