Organization
FORT HALL INDIAN HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORIONNA WASHAKI (BUSINESS OFFICE MANAGER)
(208) 238-2400
Entity
Organization
Contact information
Practice address
MISSION RD, FORT HALL, ID 83203-0717
(208) 238-2400
(208) 238-5463
Mailing address
PO BOX 717, MISSION RD, FORT HALL, ID 83203-0717
(208) 238-2400
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
19317
ID
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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