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Shoshone-Bannock Community Health Center — NPI 1225570716, Fort Hall, ID | NPI Central

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NPI 1225570716

OrganizationActive

Shoshone-Bannock Community Health Center

NPI 1225570716 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Fort Hall, ID

Provider details

NPI number: 1225570716
Entity type: Organization
Primary specialty: Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
Organization subpart: No
Authorized official: Christine Waterhouse, Sbchc Director(208) 478-3995
License: 41257PDO (ID)

Specialties & taxonomies

Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyPrimary332800000XLicense 41257PDO (ID)
Suppliers

Practice location

Navajo Drive Bldg 70

Fort Hall, ID 83203

Phone: (208) 478-3995

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

Po Box 306

Fort Hall, ID 83203-0306

Other names (DBA / former)

Doing business as: Shoshone-Bannock Tribes

Registry dates

Enumerated: 2016-11-15
Last updated: 2016-11-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.