White Pine Community Training Center Inc.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

9005038557 Issued in NV

Legal business name

WHITE PINE COMMUNITY TRAINING CENTER INC.

Practice address

1501 Park Ave
Ely, NV 89301-2645

Phone

(775) 289-6713

NPI assigned

Nov 14, 2013

Last updated

Nov 14, 2013By 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

Mrs. Maurine W Fisher

Title

Director

Phone

(775) 289-6713

Specialties & licenses 1

Addresses

Other names 1

• none Other name

Locations

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1396175139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 PARK AVE",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893012645",
            "telephone_number": "775-289-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 PARK AVE",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893012645",
            "telephone_number": "775-289-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE PINE COMMUNITY TRAINING CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "MAURINE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "775-289-6713",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NV",
            "license": "9005038557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rosemarie Wallace
• Jessica Wayman
• Casie Ann Weaver
• Elliana Bibasari Webb, COTA
• White Pine Boys Ranch, LLC (Home on the Range Youth Ranch)
• White Pine County (White Pine County Ambulance)
• White Pine County
• Todd Carl Wilkin, D.D.S.
• Cade Hunter Willes, DC
• Jeffrey B Willes, DC

• Exclusive Provider Organization in Ely, NV
• Providers in Ely, NV by specialty
• Exclusive Provider Organization in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.