NEZ PERCE TRIBAL HEALTH AUTHORITY NPI 1790795888

NPI Information

  • NPI: 1790795888
  • Provider Name: NEZ PERCE TRIBAL HEALTH AUTHORITY
  • Classification: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy - 332800000X
  • Entity Type: Organization
  • Doing Business As: (DBA) NIMIIPUU HEALTH
  • Address: 111 BEVER GRADE
    NIMIIPUU HEALTH
    LAPWAI, ID
    ZIP 83540
  • Phone: (208) 843-2271

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NPI Details

NEZ PERCE TRIBAL HEALTH AUTHORITY is an indian health service tribal urban indian health i t u pharmacy in Lapwai, 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. NEZ PERCE TRIBAL HEALTH AUTHORITY NPI is 1790795888. The provider is registered as an organization entity type.
The provider Is Doing Business As (dba) Nimiipuu Health.

The provider's business location address is:

111 BEVER GRADE
NIMIIPUU HEALTH
LAPWAI, ID
ZIP 83540-367
Phone: (208) 843-2271
Fax: (208) 621-4995

The provider's authorized official is R. Kim Hartwig .
The authorized official title is Medical Director and has the following contact phone number (208) 843-2271.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 7/22/2022.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)IDAHONo
2332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1805010100MEDICAIDIDAHO
2805010102MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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