Shoshone Bannock Tribes, Inc.
Specialty details in registry · Fort Hall, ID
At a glance
700 Widowville Road, Fort Hall, ID 83203-0306
NPPES record updated Jun 2, 2009. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
700 Widowville RoadFort Hall, ID 83203-0306
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 341600000X
- Enumeration date
- Feb 22, 2007
- Record updated
- Jun 2, 2009
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
341600000X · Primary
License reported: 2626 ID
Specialty details in registry
3416L0300X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
700 Widowville RoadFort Hall, ID 83203-0306
- Phone
- (208) 478-3786
- Fax
- (208) 478-3788
Mailing address
PO BOX 306FORT HALL, ID 832030306
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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