NPIMap

Organization Active NPI

Walker River Paiute Tribe

  • Clinical Medical Laboratory
  • Schurz, NV
National Provider Identifier
1609129105
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
28205AL-0 Issued in NV
Legal business name
WALKER RIVER PAIUTE TRIBE
Practice address
1025 Hospital Rd.
Schurz, NV 89427
Phone
(775) 773-2005
Fax
(775) 773-2009
NPI assigned
Oct 22, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Andrew B McAuliffe
Title
Health Director
Phone
(775) 773-2005

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 3

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

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D0700255Walker River Tribal Health Clinic1025 Hospital Road, Schurz, NV 89427Certificate of waiverOct 4, 2026

Medicare participation

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

All facility ownership & control disclosures 1

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Walker River Tribal Health ClinicSchurz, NV, CCN 291017 Federally qualified health center Operational/Managerial Control Apr 1, 1992

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20250506002574 NV Part B Supplier - Independent Clinical Laboratory 9133565203 Practice locations: Schurz, NV

National Provider Directory

National Provider Directory
Tax ID family
Walker River Paiute Tri (4 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 28205AL-0 NV Primary

Addresses

NPPES NPI Registry

Primary practice location

1025 Hospital Rd.
Schurz, NV 89427

Mailing address

P.O. Box C
1025 Hospital Road
Schurz, NV 89427
Phone (775) 773-2005

Other names 1

NPPES NPI Registry
  • Walker River Tribal Health Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 20, 2024.

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1609129105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX C",
            "address_2": "1025 HOSPITAL ROAD",
            "city": "SCHURZ",
            "state": "NV",
            "postal_code": "89427",
            "telephone_number": "775-773-2005",
            "fax_number": "775-773-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 HOSPITAL RD.",
            "city": "SCHURZ",
            "state": "NV",
            "postal_code": "89427",
            "telephone_number": "775-773-2005",
            "fax_number": "775-773-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER RIVER PAIUTE TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "MCAULIFFE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "775-773-2005"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NV",
            "license": "28205AL-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walker River Tribal Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schurz, NV

Sources for this page

Verify at the official NPI Registry.