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NOT-TSOO GAH-NEE INDIAN HEALTH CENTER
NPI 1861864712
Clinic/Center - Multi-Specialty in Fort Hall, ID

Active since October 30, 2015
717 MISSION ROAD, FORT HALL, ID 83203(208) 238-5400 Get Directions Write a Review

NPPES record last updated: October 30, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Not-tsoo Gah-nee Indian Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOT-TSOO GAH-NEE INDIAN HEALTH CENTER (NPI 1861864712) is a healthcare organization registered as a multi-specialty in Fort Hall, Idaho and active in the NPI registry since October 2015. The organization lists Shirley Alvarez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1861864712
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameNOT-TSOO GAH-NEE INDIAN HEALTH CENTER
Location Address717 MISSION ROADFort Hall, ID 83203-0717
Mailing AddressPo Box 717Fort Hall, ID 83203-0717
Phone(208) 238-5400
Organization SubpartNo
Authorized OfficialShirley AlvarezCeo · (208) 238-5493
Enumeration DateOctober 30, 2015
✔ NPI 1861864712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in ID · P5176
717 MISSION ROAD, Fort Hall, ID 83203
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D1056783

Not Tsoo Gah Nee Indian Health Clinic · Fort Hall, ID
Expired · Jul 24, 2026
CLIA Number13D1056783
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2024
Certificate Expiration DateJuly 24, 2026
Laboratory DirectorJames F. Vook
Laboratory Phone(208) 238-5400
Laboratory LocationNot Tsoo Gah Nee Indian Health ClinicMission Road, Fort Hall, ID 83203
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHOSHONE BANNOCK TRIBES, INC
Clinic/Center
717 MISSION ROAD
FORT HALL, ID 83203
Bingham County (208) 238-2400
MR. THAYNE ANDERSEN LCSW
Social Worker (Clinical)
717 MISSION ROAD
FORT HALL, ID 83203
Bingham County (208) 237-5631
MRS. ASHLEY L BALLENSKY RN
Registered Nurse (Ambulatory Care)
717 MISSION ROAD
FORT HALL, ID 83203
Bingham County (208) 238-5423
MATTHEW J WADSWORTH LCSW
Social Worker (Clinical)
717 MISSION ROAD
FORT HALL, ID 83203
Bingham County (208) 237-5631
DANIEL JEROME HALL LCSW
Social Worker (Clinical)
717 MISSION ROAD
FORT HALL, ID 83203
Bingham County (208) 237-5631
MISS CHANTELLE E BOWMAN PA-C
Physician Assistant
717 MISSION ROAD, COMMUNITY HEALTH NURSING PROGRAM
FORT HALL, ID 83203
Bingham County (208) 238-5435
SHOSHONE BANNOCK TRIBES
Podiatrist
717 MISSION ROAD
FORT HALL, ID 83203
Bingham County (208) 238-5421

Frequently Asked Questions

What is NOT-TSOO GAH-NEE INDIAN HEALTH CENTER's NPI number?

The NPI number assigned to this healthcare provider is 1861864712, enumerated as an "organization" on October 30, 2015.

Where is the provider located?

The provider is located at 717 MISSION ROAD FORT HALL, ID 83203 and the phone number is (208) 238-5400.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.