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Organization
SHOSHONE-BANNOCK COMMUNITY HEALTH CENTER
Active
Organization
SHOSHONE-BANNOCK COMMUNITY HEALTH CENTER
Active
Other names
Shoshone-Bannock Tribes
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE WATERHOUSE (SBCHC DIRECTOR)
(208) 478-3995
Entity
Organization
Contact information
Practice address
NAVAJO DRIVE BLDG 70, FORT HALL, ID 83203
(208) 478-3995
Mailing address
PO BOX 306, FORT HALL, ID 83203-0306
(208) 478-3995
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
41257PDO
ID
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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