SHOSHONE-BANNOCK TRIBES
NPI 1225570716
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Fort Hall, ID
NPI Status: Active since November 15, 2016
Contact Information
NAVAJO DRIVE BLDG 70
FORT HALL, ID
ZIP 83203
Phone: (208) 478-3995
- Organization
- Indian Health Service/Tribal/Urban India...
- CLIA Number: 13D2100443
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 06-18-2027
About SHOSHONE-BANNOCK TRIBES
This page provides the complete NPI Profile along with additional information for Shoshone-bannock Tribes, a provider established in Fort Hall, Idaho operating as a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The healthcare provider is registered in the NPI registry with number 1225570716 assigned on November 2016. The practitioner's primary taxonomy code is 332800000X with license number 41257PDO (ID). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Shoshone-bannock Tribes. The authorized official of this NPI record is Ms. Christine Waterhouse (Sbchc Director)
- NPI
- 1225570716
- Provider Legal Name
- SHOSHONE-BANNOCK COMMUNITY HEALTH CENTER
- Other Organization Name
- SHOSHONE-BANNOCK TRIBES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- NAVAJO DRIVE BLDG 70 FORT HALL, ID 83203
- Location Phone
- (208) 478-3995
- Mailing Address
- PO BOX 306 FORT HALL, ID 83203
- Mailing Phone
- (208) 478-3995
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-15-2016
- Last Update Date
- 11-15-2016
- Code Navigator
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
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Taxonomy Code
- 332800000X
- Type
- Suppliers
- License No.
- 41257PDO
- License State
- ID
- Taxonomy Description
- An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
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
- 13D2100443
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- June 19, 2025
- Certificate Expiration Date
- June 18, 2027
- Laboratory Director
- JESUS TELLEZ-HERNANDEZ
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Shoshone-bannock Tribes in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1225570716, 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225570716, enumerated as an "organization" on November 15, 2016.
The provider is located at NAVAJO DRIVE BLDG 70 FORT HALL, ID 83203 and the phone number is (208) 478-3995.
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.
