National Provider Identifier Database

SHOSHONE BANNOCK COMMUNITY HEALTH CENTER
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

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.


Contact Information

SHOSHONE-BANNOCK COMMUNITY HEALTH CENTER
NAVAJO DRIVE BLDG 70
FORT HALL, ID83203
Phone: 208-478-3995
Fax:
Website:
Specialty Taxonomy Code
* Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

* Indicates primary specialty

NPI Profile & details for SHOSHONE-BANNOCK COMMUNITY HEALTH CENTER

NPI Number 1225570716
Legal business name
LBN
SHOSHONE-BANNOCK COMMUNITY HEALTH CENTER
Authorized official CHRISTINE WATERHOUSE - (SBCHC DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 11/15/2016
Last updated 11/15/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: 41257PDO

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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