NEZ PERCE TRIBAL HEALTH AUTHORITY; NPI #1790795888

Contact Information

NEZ PERCE TRIBAL HEALTH AUTHORITY

111 BEVER GRADE
NIMIIPUU HEALTH
LAPWAI, ID 83540-0367

Phone: 208-843-2271
Fax: 208-621-4995
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	332800000X	87	All Other Suppliers
Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for NEZ PERCE TRIBAL HEALTH AUTHORITY

NPI # 1790795888

LBN Legal business name NEZ PERCE TRIBAL HEALTH AUTHORITY

Authorized official R. HARTWIG - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/09/2006

Last updated 07/22/2022 - About 4 years ago

Identifiers

ID	Medicaid	805010100
ID	Medicaid	805010102

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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