(Dba) Nimiipuu Health
LBN: Nez Perce Tribal Health Authority
(Dba) Nimiipuu Health is an health care organization with primary practice located at 111 Bever Grade Nimiipuu Health, Lapwai ID 83540-0367. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty.
Nez Perce Tribal Health Authority can be contacted via phone (208) 843-2271, or through Hartwig, R. Kim via phone (208) 843-2271.
Contact Information
Primary practice address
111 Bever Grade Nimiipuu Health
Lapwai ID 83540-0367
Phone: (208) 843-2271
Fax: (208) 621-4995
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | Idaho | |
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X |
Profile Details
NPI number | 1790795888 |
---|---|
LBN Legal business name | Nez Perce Tribal Health Authority |
DBA Doing business as | (Dba) Nimiipuu Health |
Authorized official | Hartwig, R. Kim Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 9th, 2006 |
Last updated | Jul 22nd, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790795888 | NPPES |
Idaho | MEDICAID | 805010102 | |
Idaho | MEDICAID | 805010100 |
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