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Organization
NOT TSOO GAH NEE INDIAN HEALTH SERVICES
Active
Organization
NOT TSOO GAH NEE INDIAN HEALTH SERVICES
Active
Other names
Fort Hall Indian Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY ALVAREZ (CHIEF EXECUTIVE OFFICER)
(208) 238-5493
Entity
Organization
Contact information
Practice address
MISSION ROAD, MISSION ROAD, FORT HALL, ID 83203-0717
(208) 238-2400
(208) 238-5463
Mailing address
PO BOX 717, FORT HALL, ID 83203-0717
(208) 238-2400
(208) 238-5463
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003398400
—
ID
Enumeration date
02/22/2007
Last updated
08/07/2008
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