NOT TSOO GAH NEE; NPI #1366801458

Contact Information

NOT TSOO GAH NEE

717 MISSION RD
FT HALL, ID 83203

Phone: 208-238-5427
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Public Health, Federal	261QP0904X

Indicates primary specialty

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NPI Profile & details for NOT TSOO GAH NEE

NPI Number 1366801458

LBN Legal business name NOT TSOO GAH NEE

Authorized official KELLIE ALCORN - (LPN)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/17/2016

Last updated 02/17/2016 - About 10 years ago

Identifiers

ID	License #	PN-15140
ID	Medicaid	003398900

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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