NPIMap

Organization Active NPI

Fallon Tribal Health Center

  • Clinic/Center
  • Fallon, NV
National Provider Identifier
1023057478
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FALLON TRIBAL HEALTH CENTER
Doing business as
Fallon Tribal Health Center
Practice address
1001 Rio Vista Dr
Fallon, NV 89406-5463
Phone
(775) 423-3634
Fax
(775) 423-3246
NPI assigned
Jun 4, 2006
Last updated
Nov 2, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
FALLON PAIUTE-SHOSHONE TRIBEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Authorized official

Name
Mr. Jon Pishion
Title
Health Director
Phone
(775) 423-3634

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Clinic/Center 261Q00000X Primary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Non-emergency Medical Transport (VAN) 343900000X

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

Other identifiers 2

IdentifierTypeStateIssuer
701001MedicaidNV
00470100100MedicaidNV

Other names 1

  • Fallon Tribal Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080508000316 TX Part B Supplier - Clinic/Group Practice 0042399578 Receives reassigned benefits from 31 practitioners
Practice locations: Fallon, NV

National Provider Directory

National Provider Directory
Part of
Fallon Tribe HLTH Ctr

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1023057478",
    "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",
            "fax_number": "775-423-2287"
        },
        {
            "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",
            "fax_number": "775-423-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLON TRIBAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FALLON PAIUTE-SHOSHONE TRIBE",
        "enumeration_date": "2006-06-04",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "PISHION",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "775-423-3634",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "701001",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00470100100",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fallon Tribal Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.