National Provider Identifier Database

NOT TSOO GAH NEE INDIAN HEALTH SERVICES
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

NOT TSOO GAH NEE INDIAN HEALTH SERVICES
MISSION ROAD
MISSION ROAD
FORT HALL, ID83203-0717
Phone: 208-238-2400
Fax: 208-238-5463
Website:
Specialty Taxonomy Code
* Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

* Indicates primary specialty

NPI Profile & details for NOT TSOO GAH NEE INDIAN HEALTH SERVICES

NPI Number 1326173105
Legal business name
LBN
NOT TSOO GAH NEE INDIAN HEALTH SERVICES
Authorized official SHIRLEY ALVAREZ - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 02/22/2007
Last updated 08/07/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • ID Medicaid: 003398400

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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