SHOSHONE-BANNOCK COMMUNITY HEALTH CENTER is an indian health service tribal urban indian health i t u pharmacy in Fort Hall, ID. The provider is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. SHOSHONE-BANNOCK COMMUNITY HEALTH CENTER NPI is 1225570716. The provider is registered as an organization entity type.
The provider Is Doing Business As Shoshone-bannock Tribes.
The provider's business location address is:
NAVAJO DRIVE BLDG 70
FORT HALL, ID
ZIP 83203
Phone: (208) 478-3995
The provider's authorized official is Christine Waterhouse .
The authorized official title is Sbchc Director and has the following contact phone number (208) 478-3995.
The CLIA number assigned to this NPI record is 13D2100443 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 11/15/2016 and was last updated on 11/15/2016.