NPIMap

Organization Active NPI

Stillwater Tribal Senior Center

  • Multi-Specialty Clinic/Center
  • Fallon, NV
National Provider Identifier
1013793132
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
STILLWATER TRIBAL SENIOR CENTER
Practice address
1001 Rio Vista Dr
Fallon, NV 89406-5463
Phone
(775) 423-3634
NPI assigned
Sep 5, 2023
Last updated
Sep 5, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
FALLON TRIBAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tricha Hutchcraft
Title
Assoc Director-Business Services
Phone
(775) 423-3634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

1001 Rio Vista Dr
Fallon, NV 89406-5463

Mailing address

1001 Rio Vista Dr
Fallon, NV 89406-5463
Phone (775) 423-3634

National Provider Directory

National Provider Directory
Tax ID family
Fallon Tribe HLTH Ctr2 organizations share this tax ID, including this one
Part of
Fallon Tribe HLTH Ctr

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1001 Rio Vista Dr
Fallon, NV 89406
Phone (775) 423-3634

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1013793132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 RIO VISTA DR",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894065463",
            "telephone_number": "775-423-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 RIO VISTA DR",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894065463",
            "telephone_number": "775-423-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER TRIBAL SENIOR CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FALLON TRIBAL HEALTH CENTER",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "HUTCHCRAFT",
        "authorized_official_first_name": "TRICHA",
        "authorized_official_title_or_position": "ASSOC DIRECTOR-BUSINESS SERVICES",
        "authorized_official_telephone_number": "775-423-3634"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallon, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.