Shoshone Bannock Hotel & Event Center is a
Massage Therapist based in Fort Hall, Idaho. Shoshone Bannock Hotel & Event Center is licensed to practice in * (Not Available) (license number ) and their current practice location is
777 Bannock Trail, Fort Hall, Idaho. It can be reached at their office (for appointments etc.) via phone at
(208) 238-4850.
NPI number for Shoshone Bannock Hotel & Event Center is 1336872993 and their current mailing address is 777 Bannock Trail, Fort Hall, Idaho. Shoshone Bannock Hotel & Event Center
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1336872993.
Healthcare Provider's Profile
| Full Name | Shoshone Bannock Hotel & Event Center |
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| Type | Facility |
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| Speciality | Massage Therapist |
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| Location | 777 Bannock Trail, Fort Hall, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336872993
- Provider Enumeration Date: 07/01/2022
- Last Update Date: 07/01/2022
Medical Identifiers
Medical identifiers for Shoshone Bannock Hotel & Event Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336872993 | NPI | - | NPPES |
| 020429 | Other | ID | HEALTH MANAGEMENT ADMINISTRATORS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shoshone Bannock Hotel & Event Center is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shoshone Bannock Hotel & Event Center
777 Bannock Trail,
Fort Hall, ID 83203
Ph: (208) 238-4850 | Shoshone Bannock Hotel & Event Center
777 Bannock Trail,
Fort Hall, ID 83203
Ph: (208) 238-4850 |
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