# SHOSHONE BANNOCK TRIBES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SHOSHONE BANNOCK TRIBES
- **Other names:** Fort Hall Fire & EMS District
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790810661
- **Legal business name:** SHOSHONE BANNOCK TRIBES
- **Authorized official:** MR. VAL NAVO (FIRE CHIEF)
- **Authorized official phone:** (208) 478-3784

## Contact information

- **Practice address:** 700 WIDOWVILLE ROAD, FORT HALL, ID 83203-0306
- **Practice address phone:** (208) 478-3786
- **Practice address fax:** (208) 478-3788
- **Mailing address:** PO BOX 306, FORT HALL, ID 83203-0306
- **Mailing address phone:** (208) 478-3786
- **Mailing address fax:** (208) 478-3788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 2626 | ID | Yes |
| 3416L0300X | Land Ambulance | — | NULL | — |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 06/02/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 806350000 | — | ID |
| 05 | — | ID806350000 | — | ID |