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

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  • 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 18 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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MORIONNA WASHAKI

Authorized Official Title
BUSINESS OFFICE MANAGER
Authorized Official Phone
(208) 238-2400

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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1215192976, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 2 + 5 + 2 + 9 + 4 + 9 + 1 + 4 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1215192976.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Pharmacist
MISSION RD, BOX 717
FORT HALL, ID 83203
Optometrist
MISSION RD
FORT HALL, ID 83203
Dental Hygienist
MISSION RD
FORT HALL, ID 83203
Registered Nurse
MISSION RD
FORT HALL, ID 83203
Nutritionist
MISSION RD
FORT HALL, ID 83203
Registered Nurse (Diabetes Educator)
MISSION RD
FORT HALL, ID 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.