NPIMap

Organization Active NPI

Nez Perce Tribal Health Board

Doing business as (DBA) Nimiipuu Health

  • Clinical Medical Laboratory
  • Lapwai, ID
National Provider Identifier
1386710036
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
13D0959073 Issued in ID
Legal business name
NEZ PERCE TRIBAL HEALTH BOARD
Doing business as
(DBA) Nimiipuu Health
Practice address
111 Beaver Grade Road
Lapwai, ID 83540
Phone
(208) 843-2271
Fax
(208) 843-2658
NPI assigned
Nov 27, 2006
Last updated
Dec 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Roxie K Hartwig, MDNPI 1669455770
Title
Medical Director
Phone
(208) 843-2271

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 13D0959073 ID Primary

Addresses

Primary practice location

111 Beaver Grade Road
Lapwai, ID 83540

Mailing address

PO Box 367
Lapwai, ID 83540
Phone (208) 843-2271

Other identifiers 1

IdentifierTypeStateIssuer
805010100MedicaidID

Other names 1

  • (DBA) Nimiipuu Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nimiipu Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1386710036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "LAPWAI",
            "state": "ID",
            "postal_code": "83540",
            "telephone_number": "208-843-2271",
            "fax_number": "208-621-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BEAVER GRADE ROAD",
            "city": "LAPWAI",
            "state": "ID",
            "postal_code": "83540",
            "telephone_number": "208-843-2271",
            "fax_number": "208-843-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEZ PERCE TRIBAL HEALTH BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "HARTWIG",
        "authorized_official_first_name": "ROXIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "208-843-2271",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "ID",
            "license": "13D0959073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805010100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "(DBA) Nimiipuu Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "(DBA) Nimiipuu Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lapwai, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.