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Organization

NOT-TSOO GAH-NEE INDIANE HEALTH SERVICES

Active
Other names
Fort Hall Indian Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
SHIRLEY ALVAREZ (CEO)
(208) 238-5493
Entity
Organization

Contact information

Practice address
MISSION ROAD, FORT HALL, ID 83203
(208) 238-2400
Mailing address
PO BOX 717, FORT HALL, ID 83203
(208) 238-2400

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
338026
ARRT ID NUMBER
ID
Enumeration date
02/22/2007
Last updated
08/22/2020
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