NPIMap

Organization Active NPI

Pyramid Lake Tribal Health Clinic

  • Clinic/Center
  • Sparks, NV
National Provider Identifier
1386989465
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CP0063 Issued in NV
Legal business name
PYRAMID LAKE TRIBAL HEALTH CLINIC
Practice address
7337 Sansol Dr
Sparks, NV 89436-6252
Phone
(775) 303-3851
NPI assigned
Nov 30, 2012
Last updated
Nov 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Authorized official

Name
Patricia Sicherman
Title
Health Director
Phone
(775) 574-1018

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CP0063 NV Primary
Clinic/Center 261Q00000X MI0170 NV

Addresses

Primary practice location

7337 Sansol Dr
Sparks, NV 89436-6252

Mailing address

PO Box 227
Nixon, NV 89424-0227
Phone (775) 574-1018

National Provider Directory

National Provider Directory
Tax ID family
Pyramid Lake Tribal Health Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1386989465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227",
            "city": "NIXON",
            "state": "NV",
            "postal_code": "894240227",
            "telephone_number": "775-574-1018",
            "fax_number": "775-574-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7337 SANSOL DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894366252",
            "telephone_number": "775-303-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PYRAMID LAKE TRIBAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "SICHERMAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "775-574-1018"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NV",
            "license": "CP0063",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NV",
            "license": "MI0170",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.