Organization
NOT-TSOO GAH-NEE INDIAN HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY ALVAREZ (CEO)
(208) 238-5493
Entity
Organization
Contact information
Practice address
717 MISSION ROAD, FORT HALL, ID 83203-0717
(208) 238-5400
Mailing address
PO BOX 717, FORT HALL, ID 83203-0717
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
P5176
ID
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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