<Unavail>

LBN: Shoshone-Bannock Community Health Center
<Unavail> is an health care organization with primary practice located at Navajo Drive Bldg 70 , Fort Hall ID 83203. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty. Shoshone-Bannock Community Health Center can be contacted via phone (208) 478-3995, or through Waterhouse, Christine via phone (208) 478-3995.

Contact Information

Primary practice address
Navajo Drive Bldg 70 Fort Hall ID 83203
Phone: (208) 478-3995
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Waterhouse, Christine
Phone: (208) 478-3995

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 41257PDO Idaho

Profile Details

NPI number 1225570716
LBN Legal business name Shoshone-Bannock Community Health Center
DBA Doing business as <Unavail>
Authorized official Waterhouse, Christine
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2016
Last updated Nov 15th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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