SHOSHONE BANNOCK CLINIC PODIATRY GROUP
NPI 1952518946
Podiatrist in Fort Hall, ID

Q: What is Shoshone Bannock Tribes's NPI number?

The NPI number for Shoshone Bannock Tribes is 1952518946. It was assigned to this organization in the NPPES registry on May 17, 2007. The provider is doing business as Shoshone Bannock Clinic Podiatry Group.

Q: What is Shoshone Bannock Tribes's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since May 17, 2007

717 MISSION ROAD, FORT HALL, ID 83203(208) 238-5421(208) 238-5462 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Shoshone Bannock Clinic Podiatry Group NPPES

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

SHOSHONE BANNOCK CLINIC PODIATRY GROUP (NPI 1952518946) is a healthcare organization registered as a podiatrist in Fort Hall, Idaho and active in the NPI registry since May 2007. The organization lists Angela Mendez, Tribal Health Director, as its authorized official.

NPPES Registry Identity

NPI1952518946

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameSHOSHONE BANNOCK TRIBES

Location Address717 MISSION ROADFort Hall, ID 83203

Mailing AddressPo Box 306, Pima DriveFort Hall, ID 83203-0306 · (208) 478-3994 · Fax (208) 478-3943

Phone(208) 238-5421

Fax(208) 238-5462

Organization SubpartNo

Authorized OfficialAngela MendezTribal Health Director · (208) 478-3994

Enumeration DateMay 17, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1952518946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

717 MISSION ROAD, Fort Hall, ID 83203

Open in Google Maps ↗

Other Names 1

Doing Business AsShoshone Bannock Clinic Podiatry Group

Other Identifiers 1

Medicaid8066486ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MISS CHANTELLE E BOWMAN PA-C

Physician Assistant

717 MISSION ROAD, COMMUNITY HEALTH NURSING PROGRAM
FORT HALL, ID 83203

Bingham County (208) 238-5435

MR. THAYNE ANDERSEN LCSW

Social Worker (Clinical)