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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 Specialty Code Provider Type

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

332800000X 87 All Other Suppliers
Indicates primary specialty

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

NPI # 1326173105
LBN Legal business name NOT TSOO GAH NEE INDIAN HEALTH SERVICES
Authorized official SHIRLEY ALVAREZ - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/22/2007
Last updated 08/07/2008 - About 18 years ago
Identifiers
ID Medicaid 003398400
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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