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Shoshone Bannock Tribes — NPI 1952518946, Fort Hall, ID | NPI Central

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NPI 1952518946

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Shoshone Bannock Tribes

NPI 1952518946 · Podiatrist · Fort Hall, ID

Provider details

NPI number: 1952518946
Entity type: Organization
Primary specialty: PodiatristPodiatric Medicine & Surgery Service Providers
Organization subpart: No
Authorized official: Angela Mendez, Tribal Health Director(208) 478-3994

Specialties & taxonomies

PodiatristPrimary213E00000X
Podiatric Medicine & Surgery Service Providers

Practice location

717 Mission Road

Fort Hall, ID 83203

Phone: (208) 238-5421

Fax: (208) 238-5462

Approximate (ZIP-level) locationGet directions

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Mailing address

Po Box 306

Fort Hall, ID 83203-0306

Other names (DBA / former)

Doing business as: Shoshone Bannock Clinic Podiatry Group

Registry dates

Enumerated: 2007-05-17
Last updated: 2020-08-22

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