NOT TSOO GAH NEE


Address: 717 Mission Rd, Ft Hall, ID 83203
Phone: 2082385427

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
ID 003398900 05

Office Location

Street Address 717 MISSION RD
City FT HALL
State ID
Zip Code 83203

Providers in the same zip code

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 Information

Taxonomy Code 261QP0904X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Public Health, Federal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215192976 Fort Hall Indian Health Services Clinic/Center Mission Rd, Fort Hall, ID 83203-0717 2008-07-22

Competitor

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City FT HALL
Zip Code 83203

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Dataset Information

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.

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