OrganizationActive
Shoshone Bannock Tribes, Inc
NPI 1801949763 · Clinic/Center · Fort Hall, ID
Shoshone Bannock Tribes, Inc is a Clinic/Center organization in Fort Hall, ID (NPI 1801949763).
Provider details
- NPI number
- 1801949763
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Shoshone Bannock Tribes, Inc
- Organization subpart
- Yes
- Authorized official
- Angela Mendez, Tribal Health Director(208) 478-3744
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
717 Mission Road
Fort Hall, ID 83203-0306
Phone: (208) 238-2400
Fax: (208) 238-5462
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 306
Fort Hall, ID 83203-0306
Other names (DBA / former)
- Doing business as
- Shoshone Bannock Clinic
Registry dates
- Enumerated
- 2007-01-22
- Last updated
- 2010-01-25
Frequently asked questions
- What is Shoshone Bannock Tribes, Inc's NPI number?
- Shoshone Bannock Tribes, Inc's National Provider Identifier (NPI) is 1801949763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shoshone Bannock Tribes, Inc?
- Shoshone Bannock Tribes, Inc is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Shoshone Bannock Tribes, Inc located?
- Shoshone Bannock Tribes, Inc's practice location on file with NPPES is 717 Mission Road, Fort Hall, ID 83203-0306.
- What is Shoshone Bannock Tribes, Inc's phone number?
- The practice phone number listed in the NPPES registry for Shoshone Bannock Tribes, Inc is (208) 238-2400.
- Who is the authorized official for Shoshone Bannock Tribes, Inc?
- The authorized official listed on Shoshone Bannock Tribes, Inc's NPPES record is Angela Mendez, Tribal Health Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shoshone Bannock Tribes, Inc's NPI active?
- Yes — Shoshone Bannock Tribes, Inc's NPI (1801949763) is active in the NPPES registry as of the last update on 2010-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.