Organization
NEZ PERCE TRIBAL HEALTH BOARD
Active
Other names
(DBA) Nimiipuu Health
Organization subpart
No
Provider details
NPI number
Authorized official
ROXIE K HARTWIG MD (MEDICAL DIRECTOR)
(208) 843-2271
Entity
Organization
Contact information
Practice address
111 BEAVER GRADE ROAD, LAPWAI, ID 83540
(208) 843-2271
(208) 843-2658
Mailing address
PO BOX 367, LAPWAI, ID 83540
(208) 843-2271
(208) 621-4995
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
13D0959073
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805010100
—
ID
Enumeration date
11/27/2006
Last updated
12/04/2019
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