Fort McDermitt Tribe
Organization Active NPI Dentist · McDermitt, NV
NPI 1124567995 · NPPES record last updated Feb 14, 2017
Key facts
- NPI
- 1124567995
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- FORT MCDERMITT TRIBE
- Practice address
- 112 No Reservation Road
McDermitt, NV 89421-0315 - Phone
- (775) 532-8522
- Fax
- (775) 532-8024
- NPI assigned
- Feb 14, 2017
- Organization subpart
- No
Authorized official
- Name
- Valerie Barr
- Title
- Cfo
- Phone
- (775) 532-8259
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Fort McDermitt Tribe
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
112 No Reservation Road
McDermitt, NV 89421-0315
Mailing address
112 No Reservation Road
McDermitt, NV 89421-0315
Phone (775) 532-8522
Other names
- Fort McDermitt Wellness Center
Other providers in McDermitt, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.