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Organization
NEZ PERCE TRIBAL HEALTH AUTHORITY
Active
Organization
NEZ PERCE TRIBAL HEALTH AUTHORITY
Active
Other names
(DBA) Nimiipuu Health
Organization subpart
No
Provider details
NPI number
Authorized official
R. KIM HARTWIG MD (MEDICAL DIRECTOR)
(208) 843-2271
Entity
Organization
Contact information
Practice address
111 BEVER GRADE, NIMIIPUU HEALTH, LAPWAI, ID 83540-0367
(208) 843-2271
(208) 621-4995
Mailing address
PO BOX 367, LAPWAI, ID 83540-0367
(208) 843-2271
(208) 621-4995
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
ID
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805010100
—
ID
05
—
805010102
—
ID
Enumeration date
08/09/2006
Last updated
07/22/2022
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