Whalio Doctors

NPI 1225570716

Shoshone-Bannock Community Health Center

Organisation Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Fort Hall, ID

Practice location

Address
Navajo Drive Bldg 70, Fort Hall, ID 83203
Phone
(208) 478-3995
Mailing address
PO Box 306, Fort Hall, ID 83203-0306

Authorised official

Name
Christine Waterhouse
Title
Sbchc Director
Phone
(208) 478-3995

Registered specialties

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary
Suppliers Taxonomy 332800000X Licence 41257PDO (ID)

Registry record

NPI
1225570716
Entity type
Organization
NPI issued
15 Nov 2016
Record last updated
15 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.