Nez Perce Tribal Health Authority

NPI #1790795888 in Lapwai, Idaho

Provider Information

NPI Number: 1790795888
Entity Type: Organization
Organization Name: Nez Perce Tribal Health Authority
Primary Specialty: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Enumeration Date: Aug 9, 2006
Last Updated: Jul 22, 2022

Practice Location

Address: 111 BEVER GRADE
Address 2: NIMIIPUU HEALTH
City: Lapwai
State: Idaho
ZIP Code: 83540-0367
Phone: (208) 843-2271

Authorized Official

Name: R. KIM HARTWIG, MD
Title: MEDICAL DIRECTOR
Phone: (208) 843-2271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	332800000X	Primary

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