Nez Perce Tribal Health Authority in Lapwai - Federally Qualified Health Center (fqhc)
Nez Perce Tribal Health Authority - NPI 1790795888
Nez Perce Tribal Health Authority is a Federally Qualified Health Center (fqhc) in Lapwai, Idaho. Nez Perce Tribal Health Authority practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Nez Perce Tribal Health Authority is 1790795888. The last update date is 2022-07-22.
Nez Perce Tribal Health Authority's current location address is Po Box 367, Lapwai, Idaho. You can contact this provider via phone number 2088432271 and fax number 2086214995. The mailing address for Nez Perce Tribal Health Authority is Po Box 367, Lapwai, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Nez Perce Tribal Health Authority |
|---|---|
| Address | Po Box 367, Lapwai, Idaho |
| Phone Number | 2088432271 |
| Fax Number | 2086214995 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Hartwig Kim R. |
| Credentials | MD |
| Telephone Number | 2088432271 |
NPI Number Detail
| NPI Number | 1790795888 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2022-07-22 |
Provider Mailing Address Detail
| Address | Po Box 367 |
|---|---|
| City | Lapwai |
| State | Idaho (ID) |
| Post Code | 835400367 |
| Phone Number | 2088432271 |
| Fax Number | 2086214995 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 805010102 | ID | -- | |
| 805010100 | ID | -- |
Post Comment/ Review Below
What is the Nez Perce Tribal Health Authority's 1790795888?
The Nez Perce Tribal Health Authority's NPI (National Provider Identifier) Number is 1790795888. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Nez Perce Tribal Health Authority is geographically located?
The Nez Perce Tribal Health Authority is physically situated at the following location: Po Box 367, Lapwai, ID, 835400367.
What is Nez Perce Tribal Health Authority's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Nez Perce Tribal Health Authority is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790795888 to Nez Perce Tribal Health Authority?
The Centers for Medicare & Medicaid Services originally issued the 1790795888 to Nez Perce Tribal Health Authority on 2006-08-09.
As of what date were the details related to Nez Perce Tribal Health Authority most recently updated or revised?
The information pertaining to Nez Perce Tribal Health Authority, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-22.