National Provider Identifier Database

NEZ PERCE TRIBAL HEALTH AUTHORITY
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

NEZ PERCE TRIBAL HEALTH AUTHORITY
111 BEVER GRADE
NIMIIPUU HEALTH
LAPWAI, ID83540-0367
Phone: 208-843-2271
Fax: 208-621-4995
Website:
Specialty Taxonomy Code
* Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for NEZ PERCE TRIBAL HEALTH AUTHORITY

NPI Number 1790795888
Legal business name
LBN
NEZ PERCE TRIBAL HEALTH AUTHORITY
Authorized official R. HARTWIG - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 08/09/2006
Last updated 07/22/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • ID Medicaid: 805010100
  • ID Medicaid: 805010102

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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