Not Tsoo Gah Nee
Organization Active NPI Federal Public Health Clinic/Center · Ft Hall, ID
NPI 1366801458 · NPPES record last updated Feb 17, 2016
Key facts
- NPI
- 1366801458
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federal Public Health Clinic/Center 261QP0904X
- License
- PN-15140 (ID)
- Legal business name
- NOT TSOO GAH NEE
- Practice address
- 717 Mission Rd
Ft Hall, ID 83203 - Phone
- (208) 238-5427
- NPI assigned
- Feb 17, 2016
- Organization subpart
- No
Authorized official
- Name
- Ms. Kellie Ann Alcorn, LPN
- Title
- LPN
- Phone
- (208) 238-5427
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Not-Tsoo Gah-Nee Indian Health Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federal Public Health Clinic/Center | 261QP0904X | PN-15140 | ID | Yes |
Addresses
Primary practice location
717 Mission Rd
Ft Hall, ID 83203
Mailing address
PO Box 717 Mission Rd
Ft Hall, ID 83203
Phone (208) 238-5427
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003398900 | Medicaid | ID |
Other providers in Ft Hall, ID
- Samuel Edward Mitchell
- Richard Lee Mittelstedt
- Stephanie Moss
- Shari L. Newsome
- Christopher Andrew Nield
- Not Tsoo Gah Nee Indian Health
- Not Tsoo Gah Nee Indian Health Services
- Not-Tsoo Gah-Nee Indian Health Center
- Not-Tsoo Gah-Nee Indian Health Center Pharmacy
- Not-Tsoo Gah-Nee Indiane Health Services
All providers in Ft Hall, ID · Federal Public Health Clinic/Center in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.