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

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: July 19, 2026.

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
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

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.

Clinic/Center
717 MISSION ROAD
FORT HALL, ID 83203
Social Worker (Clinical)
717 MISSION ROAD
FORT HALL, ID 83203
Registered Nurse (Ambulatory Care)
717 MISSION ROAD
FORT HALL, ID 83203
Social Worker (Clinical)
717 MISSION ROAD
FORT HALL, ID 83203
Social Worker (Clinical)
717 MISSION ROAD
FORT HALL, ID 83203
Clinic/Center (Multi-Specialty)
717 MISSION ROAD
FORT HALL, ID 83203
Physician Assistant
717 MISSION ROAD, COMMUNITY HEALTH NURSING PROGRAM
FORT HALL, ID 83203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952518946, enumerated as an "organization" on May 17, 2007.

The provider is located at 717 MISSION ROAD FORT HALL, ID 83203 and the phone number is (208) 238-5421.

Podiatrist with taxonomy code 213E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.