Not-Tsoo Gah-Nee Indiane Health Services
Organization Active NPI Radiology Clinic/Center · Fort Hall, ID
NPI 1508991373 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1508991373
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiology Clinic/Center 261QR0200X
- Legal business name
- NOT-TSOO GAH-NEE INDIANE HEALTH SERVICES
- Practice address
- Mission Road
Fort Hall, ID 83203 - Phone
- (208) 238-2400
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Shirley Alvarez
- Title
- Ceo
- Phone
- (208) 238-5493
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 |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Yes |
Addresses
Primary practice location
Mission Road
Fort Hall, ID 83203
Mailing address
PO Box 717
Fort Hall, ID 83203
Phone (208) 238-2400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 338026 | Other | ID | ARRT ID NUMBER |
Other names
- Fort Hall Indian Health Services
Other providers in Fort Hall, ID
- Not Tsoo Gah Nee
- 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
- Sandra Ortiz
- Kevin Pendlebury
- James Picanco Sr.
- Brandy Pugmire
- Nava Reneda
All providers in Fort Hall, ID · Radiology 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 Aug 22, 2020. 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.