FORT HALL INDIAN HEALTH SERVICES NPI 1215192976

NPI Information

FORT HALL INDIAN HEALTH SERVICES is a public health and federal clinic center in Fort Hall, ID. FORT HALL INDIAN HEALTH SERVICES NPI is 1215192976. The provider is registered as an organization entity type.

The provider's business location address is:

MISSION RD
FORT HALL, ID
ZIP 83203-717
Phone: (208) 238-2400
Fax: (208) 238-5463

The provider's authorized official is Morionna Washaki .
The authorized official title is Business Office Manager and has the following contact phone number (208) 238-2400.

The CLIA number assigned to this NPI record is 13D0669185 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/22/2008 and was last updated on 7/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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