SHOSHONE-BANNOCK COMMUNITY HEALTH CENTER (NPI# 1225570716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225570716 |
| Entity Type | Organization |
| Organization Name | SHOSHONE-BANNOCK COMMUNITY HEALTH CENTER |
| Other Organization Name | SHOSHONE-BANNOCK TRIBES |
| Practice Address |
Navajo Drive Bldg 70 Fort Hall ID 83203 |
| Mailing Address |
Po Box 306 Fort Hall ID 83203-0306 |
| Practice Telephone | 2084783995 |
| Mailing Telephone | 2084783995 |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |
| Authorized Official Name | MS. CHRISTINE WATERHOUSE (SBCHC DIRECTOR) |
| Authorized Official Telephone | 2084783995 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 41257PDO | ID | Suppliers |
| Other Name | Type Code |
|---|---|
| Shoshone-Bannock Tribes | Doing Business As Name - Organization |
| Street Address |
NAVAJO DRIVE BLDG 70 |
| City | FORT HALL |
| State | ID |
| Zip Code | 83203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225414519 | Shoshone-bannock Tribes, Inc. | Clinic/Center | Navajo Drive Bldg 70, Fort Hall, ID 83203-0306 | 2015-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154765238 | Chief Tahgee Elementary Academy, Inc. | Local Education Agency (LEA) | 38 South Hiline Road, Fort Hall, ID 83203 | 2013-04-19 |
| 1730304171 | Shari L. Newsome | Social Worker | Mission Road Building 248, Fort Hall Indian Agency, Fort Hall, ID 83203 | 2007-04-13 |
| 1780808899 | Scotti L Brownley | Counselor | Mission Road Bldg 248, Fort Hall Indian Agency, Fort Hall, ID 83203 | 2007-04-12 |
| 1932323045 | Kristy Lee Broncho | Social Worker | Mission Road Blding 248, Fort Hall Indian Agency, Fort Hall, ID 83203 | 2007-04-12 |
| 1972632834 | Not-tsoo Gah-nee Indian Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Route 6 Mission Rd, Fort Hall, ID 83203 | 2007-03-05 |
| 1346259355 | Holly J Mcgrath | Pharmacist | Mission Rd, Box 717, Fort Hall, ID 83203 | 2006-08-07 |
| 1073518163 | Thomas John Troshynski | Pharmacist | 1 Mission Road, Fort Hall, ID 83203 | 2005-06-16 |
| 1568920080 | Wiley Drew Petersen | Family Medicine | 717 Mission Rd, Fort Hall, ID 83203 | 2019-03-04 |
| 1497262216 | Cameron Jo Marshall | Pharmacist | Mission Road, Fort Hall, ID 83203 | 2018-01-02 |
| 1366801458 | Not Tsoo Gah Nee | Clinic/Center | 717 Mission Rd, Ft Hall, ID 83203 | 2016-02-17 |
| Find all providers in zip 83203 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972632834 | Not-tsoo Gah-nee Indian Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Route 6 Mission Rd, Fort Hall, ID 83203 | 2007-03-05 |
| 1326173105 | Not Tsoo Gah Nee Indian Health Services | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Mission Road, Mission Road, Fort Hall, ID 83203-0717 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235205915 | Nez Perce Tribal Health Board | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 111 Bever Grade Rd, Lapwai, ID 83540 | 2006-11-27 |
| 1306948674 | Benewah Medical Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1115 B Street, Plummer, ID 83851 | 2006-09-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.