Duckwater Health Clinic

Primary specialty

Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X

Legal business name

DUCKWATER HEALTH CLINIC

Practice address

502 Duckwater Falls Rd
Duckwater, NV 89314

Phone

(775) 863-0222

NPI assigned

May 14, 2007

Last updated

Oct 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Wilbur, P.A.NPI 1144394693

Title

P.a.

Phone

(775) 863-0222

Specialties & licenses 2

Addresses

Practitioners 2

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.

• Mark Edward Wilbur, PAC

  • Medical Physician Assistant
  • Caliente, NV
  • NPI 1144394693
  NPD (past) Authorized official
• Janet Leigh Phillips, FNP

  • Family Nurse Practitioner
  • Fallon, NV
  • NPI 1457436594
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1245445071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 DUCKWATER FALLS RD",
            "address_2": "PO BOX 140087",
            "city": "DUCKWATER",
            "state": "NV",
            "postal_code": "89314",
            "telephone_number": "775-863-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 DUCKWATER FALLS RD",
            "city": "DUCKWATER",
            "state": "NV",
            "postal_code": "89314",
            "telephone_number": "775-863-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUCKWATER HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "WILBUR",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "P.A.",
        "authorized_official_telephone_number": "775-863-0222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duckwater Shoshone Tribe

• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Duckwater, NV
• Providers in Duckwater, NV by specialty
• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.