Organization
SHOSHONE BANNOCK TRIBES, INC.
Active
Parent organization
SHOSHONE BANNOCK TRIBES
Other names
Fort Hall Fire & EMS District
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHOSHONE BANNOCK TRIBES
Authorized official
MR. VAL NAVO (FIRE CHIEF)
(208) 478-3784
Entity
Organization
Contact information
Practice address
700 WIDOWVILLE ROAD, FORT HALL, ID 83203-0306
(208) 478-3786
(208) 478-3788
Mailing address
PO BOX 306, FORT HALL, ID 83203-0306
(208) 478-3786
(208) 478-3788
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2626
ID
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806350000
—
ID
05
—
ID806350000
—
ID
Enumeration date
02/22/2007
Last updated
06/02/2009
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