NOT-TSOO GAH-NEE INDIAN HEALTH CENTER PHARMACY


Address: Route 6 Mission Rd, Fort Hall, ID 83203
Phone: 2082385429

NOT-TSOO GAH-NEE INDIAN HEALTH CENTER PHARMACY (NPI# 1972632834) 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) 1972632834
Entity Type Organization
Organization Name NOT-TSOO GAH-NEE INDIAN HEALTH CENTER PHARMACY
Other Organization Name FORT HALL INDIAN HEALTH CENTER
Practice Address Route 6 Mission Rd
Fort Hall
ID 83203
Mailing Address Route 6 Mission Rd
Po Box 717
Fort Hall
ID 83203
Practice Telephone 2082385429
Practice Fax Number 2082385461
Mailing Telephone 2082385429
Mailing Fax Number 2082385461
Enumeration Date 2007-03-05
Last Update Date 2020-08-22
Authorized Official Name DAVID BATTESE (AREA BUSINESS OFFICE COORDINATOR)
Authorized Official Telephone 5033267277
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP 1305932 01
PHARMACY DEA NUMBER AU4271716 01

Other Provider/Organization Names

Other Name Type Code
Fort Hall Indian Health Center Other Name - Individual/Organization

Office Location

Street Address ROUTE 6 MISSION RD
City FORT 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
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
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 Information

Taxonomy Code 332800000X
Grouping Suppliers
Classification Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
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

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City FORT HALL
Zip Code 83203

Improve Information

Please comment or provide details below to improve the information on NOT-TSOO GAH-NEE INDIAN HEALTH CENTER PHARMACY.

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.

Trending Searches