Shoshone-Bannock Community Health Center

NPI #1225570716 in Fort Hall, Idaho

Provider Information

NPI Number: 1225570716
Entity Type: Organization
Organization Name: Shoshone-Bannock Community Health Center
Primary Specialty: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Enumeration Date: Nov 15, 2016
Last Updated: Nov 15, 2016

Practice Location

Address: NAVAJO DRIVE BLDG 70
City: Fort Hall
State: Idaho
ZIP Code: 83203
Phone: (208) 478-3995

Authorized Official

Name: MS. CHRISTINE WATERHOUSE
Title: SBCHC DIRECTOR
Phone: (208) 478-3995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	332800000X	Primary

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