NFW Frontier Treatment

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

7904 Issued in NV

Legal business name

NFW FRONTIER TREATMENT

Doing business as

Churchill Council on Alcohol and Other Drugs

Practice address

165 N Carson St
Fallon, NV 89406-2919

Phone

(775) 423-1412

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Lana E Henderson

Title

Executive Director

Phone

(775) 423-1412

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Churchill Council on Alcohol and Other Drugs Doing business as

Tax ID family

Churchill Council on Alcohol Other Drugs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Churchill Council on Alcohol & Other Drugs

  • Substance Abuse Rehabilitation Facility
  • Fallon, NV
  • NPI 1578764361
  NPD tax ID

Locations

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1194887208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W B ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894062913",
            "telephone_number": "775-423-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N CARSON ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894062919",
            "telephone_number": "775-423-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NFW FRONTIER TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "LANA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "775-423-1412"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NV",
            "license": "7904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100509916",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Churchill Council on Alcohol and Other Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reynaldo B. Narag Jr., M.D.
• Nevada Cardiology Institute
• Nevada State Health Division/Far Nursin
• Nevada State Health Division/Far Nursin
• New River Surgical Arts LLC
• NHC Lemoore
• Donna Nichols
• Eric Z Nielsen, MD
• Zahra Najiyya Nizami
• Northern Nevada Medical LLC

• Substance Abuse Rehabilitation Facility in Fallon, NV
• Providers in Fallon, NV by specialty
• Substance Abuse Rehabilitation Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.