Yerington Paiute Tribal Council

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

YERINGTON PAIUTE TRIBAL COUNCIL

Practice address

171 Campbell LN
Yerington, NV 89447-9768

Phone

(775) 783-0222

Fax

(775) 463-5925

NPI assigned

Apr 25, 2017

Organization subpart

No

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

Authorized official

Name

:Laurire A Thom

Title

Chairman

Phone

(775) 463-3301

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Yerington Paiute Tribal Council2 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.

• Yerington Tribal Clinic Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Yerington, NV
  • NPI 1538298773
  NPD tax ID

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1477088722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 CAMPBELL LN",
            "city": "YERINGTON",
            "state": "NV",
            "postal_code": "894479768",
            "telephone_number": "775-783-0222",
            "fax_number": "775-463-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 CAMPBELL LN",
            "city": "YERINGTON",
            "state": "NV",
            "postal_code": "894479768",
            "telephone_number": "775-783-0222",
            "fax_number": "775-463-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YERINGTON PAIUTE TRIBAL COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "THOM",
        "authorized_official_first_name": ":LAURIRE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "775-463-3301"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750338646",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Williams
• Everett Williamson
• Samantha Raene Williamson, CADC-INTERN
• Anthony Wilson
• Michael Wolford
• Yerington Paiute Tribal Council
• Yerington Tribal Clinic Pharmacy

• Health Service Clinic/Center in Yerington, NV
• Providers in Yerington, NV by specialty
• Health Service Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.