NOT TSOO GAH NEE (NPI# 1366801458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366801458 |
Entity Type | Organization |
Organization Name | NOT TSOO GAH NEE |
Practice Address |
717 Mission Rd Ft Hall ID 83203 |
Mailing Address |
Po Box 717 Mission Rd Ft Hall ID 83203 |
Practice Telephone | 2082385427 |
Mailing Telephone | 2082385427 |
Enumeration Date | 2016-02-17 |
Last Update Date | 2016-02-17 |
Authorized Official Name | MS. KELLIE ANN ALCORN (LPN) |
Authorized Official Telephone | 2082385427 |
Authorized Official Credential | LPN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP0904X |
Clinic/Center Specialization: Public Health, Federal |
PN-15140 | ID | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 003398900 | 05 |
Street Address |
717 MISSION RD |
City | FT HALL |
State | ID |
Zip Code | 83203 |
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 |
1497262216 | Cameron Jo Marshall | Pharmacist | Mission Road, Fort Hall, ID 83203 | 2018-01-02 |
1225570716 | Shoshone-bannock Community Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Navajo Drive Bldg 70, Fort Hall, ID 83203 | 2016-11-15 |
1366847428 | Daniel Jerome Hall | Social Worker | 717 Mission Road, Fort Hall, ID 83203 | 2014-10-30 |
Find all providers in zip 83203 |
Taxonomy Code | 261QP0904X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Public Health, Federal |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215192976 | Fort Hall Indian Health Services | Clinic/Center | Mission Rd, Fort Hall, ID 83203-0717 | 2008-07-22 |
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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.