Shoshone Bannock Tribes, Inc.

NPI #1790810661 in Fort Hall, Idaho

Provider Information

NPI Number: 1790810661
Entity Type: Organization
Organization Name: Shoshone Bannock Tribes, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: SHOSHONE BANNOCK TRIBES
Primary Specialty: Ambulance
Enumeration Date: Feb 22, 2007
Last Updated: Jun 2, 2009

Practice Location

Address: 700 WIDOWVILLE ROAD
City: Fort Hall
State: Idaho
ZIP Code: 83203-0306
Phone: (208) 478-3786

Authorized Official

Name: MR. VAL NAVO
Title: FIRE CHIEF
Phone: (208) 478-3784

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance - Land Transport — Land Transport	3416L0300X
Ambulance	341600000X	Primary

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