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Organization

NOT TSOO GAH NEE INDIAN HEALTH

Active
Other names
Not Tsoo Gah Nee Indian Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MORIONNA WASHAKIE (BUSINESS OFFICE MANAGER)
(208) 238-5456
Entity
Organization

Contact information

Practice address
MISSION ROAD, FORT HALL, ID 83203-0717
(208) 238-5456
(208) 238-5463
Mailing address
PO BOX 717, FORT HALL, ID 83203-0717
(208) 238-5456
(208) 238-5463

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003398900
ID
Enumeration date
10/17/2006
Last updated
08/12/2008
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