Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shoshone Bannock Tribes, Inc

Organization Clinic/Center · NPI 1801949763

Shoshone Bannock Tribes, Inc is a Clinic/Center in Fort Hall, Idaho. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

717 Mission Rd
Fort Hall, ID 83203-0306
Phone: (208) 238-2400
Fax: (208) 238-5462
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1801949763
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationShoshone Bannock Tribes, Inc
Authorized official Angela Mendez — Tribal Health Director · (208) 478-3744
Other names Shoshone Bannock Clinic
NPI enumeratedJanuary 22, 2007
Last updated in NPPESJanuary 25, 2010
Mailing addressPo Box 306, Fort Hall, ID 83203-0306

Other providers in Fort Hall