OrganizationActive
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
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
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.