FORT HALL INDIAN HEALTH SERVICES
NPI 1215192976
Clinic/Center - Public Health, Federal in Fort Hall, ID
NPI Status: Active since July 22, 2008
Contact Information
MISSION RD
FORT HALL, ID
ZIP 83203
Phone: (208) 238-2400
Fax: (208) 238-5463
- Organization
- Clinic/Center
- Public Health, Federal
- CLIA Number: 13D0669185
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 04-29-2026
About FORT HALL INDIAN HEALTH SERVICES
This page provides the complete NPI Profile along with additional information for Fort Hall Indian Health Services, a primary care provider established in Fort Hall, Idaho operating as a Clinic/center, focusing in public health, federal . The healthcare provider is registered in the NPI registry with number 1215192976 assigned on July 2008. The practitioner's primary taxonomy code is 261QP0904X with license number 19317 (ID). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Morionna Washaki (Business Office Manager)
- NPI
- 1215192976
- Provider Name
- FORT HALL INDIAN HEALTH SERVICES
- Entity Type
- Organization
- Location Address
- MISSION RD FORT HALL, ID 83203
- Location Phone
- (208) 238-2400
- Location Fax
- (208) 238-5463
- Mailing Address
- PO BOX 717 MISSION RD FORT HALL, ID 83203
- Mailing Phone
- (208) 238-2400
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-22-2008
- Last Update Date
- 07-22-2008
- Code Navigator
A primary care provider (PCP) like Fort Hall Indian Health Services sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Public Health, Federal
- Taxonomy Code
- 261QP0904X
- Type
- Ambulatory Health Care Facilities
- License No.
- 19317
- License State
- ID
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D0669185
- Facility Type
- Community Clinic
- Certificate Effective Date
- April 30, 2024
- Certificate Expiration Date
- April 29, 2026
- Laboratory Director
- DR. SCOTTIE BUSSELL
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Fort Hall Indian Health Services on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 1 | 9 | 2 | 9 | 7 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 2 | 9 | 4 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 2 + 9 + 4 + 9 + 1 + 4 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1215192976 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
MS. HOLLY J MCGRATH
Pharmacist
MISSION RD
BOX 717
FORT HALL, ID
ZIP 83203
CHRISTOPHER ANDREW NIELD O.D.
Optometrist
MISSION RD
FORT HALL, ID
ZIP 83203
MRS. CATHERINE TAMMY SALISBURY R.D.H.
Dental Hygienist
MISSION RD
FORT HALL, ID
ZIP 83203
MRS. DEEANNE M MARSHALL RN
Registered Nurse
MISSION RD
FORT HALL, ID
ZIP 83203
ERIN M BROWNLEY
Nutritionist
MISSION RD
FORT HALL, ID
ZIP 83203
KEVIN PENDLEBURY CDE
Registered Nurse
(Diabetes Educator)
MISSION RD
FORT HALL, ID
ZIP 83203
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215192976, enumerated as an "organization" on July 22, 2008.
The provider is located at MISSION RD FORT HALL, ID 83203 and the phone number is (208) 238-2400.
Clinic/Center with taxonomy code 261QP0904X and a focus in Public Health, Federal.
