NPIMap

Organization Active NPI

Ely Shoshone Tribe

Doing business as Newe Medical Clinic

  • Clinic/Center
  • Ely, NV
National Provider Identifier
1548217409
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ELY SHOSHONE TRIBE
Doing business as
Newe Medical Clinic
Practice address
400 Newe View
Ely, NV 89301
Phone
(775) 289-4133
Fax
(775) 289-3237
NPI assigned
May 27, 2006
Last updated
Jun 17, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ELY SHOSHONE TRIBEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Authorized official

Name
Garret Eugene Garber, PHARM DNPI 1962776112
Title
Clinic Supervisor/Pharmacy Manager
Phone
(775) 289-2134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 7738 NV
Clinic/Center 261Q00000X NV Primary

Addresses

Primary practice location

400 Newe View
Ely, NV 89301

Mailing address

400 B Newe VW
Ely, NV 89301-3139
Phone (775) 289-2134

Other identifiers 2

IdentifierTypeStateIssuer
100509226MedicaidNV
100509227MedicaidNV

Other names 1

  • NEWE MEDICAL CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110815000524 TX Part B Supplier - Clinic/Group Practice 1850491150 Receives reassigned benefits from 6 practitioners
Practice locations: Ely, NV

National Provider Directory

National Provider Directory
Part of
Ely Shoshone Tribe

Locations

505 S Pioche Hwy
Ely, NV 89301

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1548217409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 B NEWE VW",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893013139",
            "telephone_number": "775-289-2134",
            "fax_number": "775-289-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NEWE VIEW",
            "city": "ELY",
            "state": "NV",
            "postal_code": "89301",
            "telephone_number": "775-289-4133",
            "fax_number": "775-289-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELY SHOSHONE TRIBE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELY SHOSHONE TRIBE",
        "enumeration_date": "2006-05-27",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "GARBER",
        "authorized_official_first_name": "GARRET",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CLINIC SUPERVISOR/PHARMACY MANAGER",
        "authorized_official_telephone_number": "775-289-2134",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NV",
            "license": "7738",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100509226",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100509227",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEWE MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NEWE MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ely, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.