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Organization

NEZ PERCE TRIBAL HEALTH BOARD

Active
Other names
(dba) Nimiipuu Health
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ROXIE K HARTWIG MD (MEDICAL DIRECTOR)
(208) 843-2271
Entity
Organization

Contact information

Practice address
111 BEVER GRADE RD, LAPWAI, ID 83540
(208) 843-2271
(208) 621-4995
Mailing address
PO BOX 367, LAPWAI, ID 83540
(208) 843-2271
(208) 621-4995

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
805028600
ID
Enumeration date
11/27/2006
Last updated
12/04/2019
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