NOT-TSOO GAH-NEE INDIANE HEALTH SERVICES (NPI# 1508991373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508991373 |
| Entity Type | Organization |
| Organization Name | NOT-TSOO GAH-NEE INDIANE HEALTH SERVICES |
| Other Organization Name | FORT HALL INDIAN HEALTH SERVICES |
| Practice Address |
Mission Road Fort Hall ID 83203 |
| Mailing Address |
Po Box 717 Fort Hall ID 83203 |
| Practice Telephone | 2082382400 |
| Mailing Telephone | 2082382400 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SHIRLEY ALVAREZ (CEO) |
| Authorized Official Telephone | 2082385493 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | ARRT ID NUMBER | 338026 | 01 |
| Other Name | Type Code |
|---|---|
| Fort Hall Indian Health Services | Other Name - Individual/Organization |
| Street Address |
MISSION ROAD |
| City | FORT HALL |
| State | ID |
| Zip Code | 83203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962416701 | James Fred Vook | Family Medicine | Mission Road, Fort Hall, ID 83203-0717 | 2006-07-28 |
| 1497262216 | Cameron Jo Marshall | Pharmacist | Mission Road, Fort Hall, ID 83203 | 2018-01-02 |
| 1144412180 | Allan Parker Staker | Dentist | Mission Road, Fort Hall, ID 83203 | 2007-08-14 |
| 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 |
| 1518045772 | Samuel Edward Mitchell | Dentist | Mission Road, Fort Hall, ID 83203 | 2006-11-02 |
| 1558441139 | Not Tsoo Gah Nee Indian Health | Clinic/Center | Mission Road, Fort Hall, ID 83203-0717 | 2006-10-17 |
| 1215948823 | Kevin Robert Denny | Pharmacist | Mission Road, Fort Hall, ID 83203 | 2006-08-10 |
| 1407862139 | James Picanco Sr. | Physician Assistant | Mission Road, Fort Hall, ID 83203-0717 | 2006-08-01 |
| 1881608644 | Douglas Lyons | Family Medicine | Mission Road, Fort Hall, ID 83203-0717 | 2006-07-28 |
| 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 |
| 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 |
| 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 | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699175158 | Allied Imaging Inc | Clinic/Center | 2043 E Center St Ste 115, Pocatello, ID 83201-3300 | 2014-09-02 |
| 1982042693 | Alliance Healthcare Services Inc | Clinic/Center | 3581 E Overland Rd, Meridian, ID 83642-6757 | 2013-06-05 |
| 1316003726 | Advanced Open Imaging Boise LLC | Clinic/Center | 3581 East Overland Rd, Meridian, ID 83642 | 2006-12-29 |
| 1437178399 | Idaho Facial Imaging LLC | Clinic/Center | 8119 Ustick Rd, Suite 101, Boise, ID 83704-5754 | 2006-07-19 |
| 1053305144 | Teton Mri of Idaho Falls | Clinic/Center | 2060 S Woodruff Ave, Idaho Falls, ID 83404-6396 | 2005-09-06 |
| 1982037107 | Sjrmc Interventional Radiology Services LLC | Clinic/Center | 415 6th St, Lewiston, ID 83501-2431 | 2013-08-12 |
| 1659528511 | Imaging Center of Idaho, LLC | Clinic/Center | 4519 Enterprise Way, Caldwell, ID 83605-8086 | 2008-08-22 |
| 1326230590 | Cassia Physicians Billing | Clinic/Center | 1501 Hiland Ave, Burley, ID 83318-2682 | 2007-08-13 |
| 1669483509 | Twin Falls Imaging and Diagnostic Center | Clinic/Center | 562 Shoup Ave W, Twin Falls, ID 83301-5029 | 2006-08-09 |
| 1629031760 | Swient, LLC | Clinic/Center | 900 N Liberty St, Suite 305, Boise, ID 83704-8704 | 2006-04-10 |
| Find all providers with the same taxonomy | ||||
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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.