| NPI | 1790795888 |
|---|---|
| Doing Business As | (DBA) NIMIIPUU HEALTH |
| Entity Type | Organization |
| Authorized Contact | R. KIM HARTWIG Medical Director 208-843-2271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2022-07-22 |