SHOSHONE BANNOCK TRIBES, INC

Clinic/Center

Active Organization
NPI: 1801949763

Practice Address

717 MISSION ROAD
Fort Hall, ID 83203

Phone: (208) 238-2400

Specialties

Specialty Code Primary License
Clinic/Center 261Q00000X Yes -

Frequently Asked Questions

NPI 1801949763 is the National Provider Identifier for SHOSHONE BANNOCK TRIBES, INC, a Clinic/Center provider located in Fort Hall, ID. This NPI was enumerated on January 22, 2007.

Quick Facts

NPI
1801949763
Type
Organization
Enumerated
Jan 22, 2007
Last Updated
Jan 25, 2010

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