| NPI | 1811054877 |
|---|---|
| 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 | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2024-09-24 |