| NPI | 1508991373 |
|---|---|
| Other Name | FORT HALL INDIAN HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | SHIRLEY ALVAREZ CEO 208-238-5493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |