Active NPI
Family Medical Center
- Primary Care Clinic/Center
- Fallon, NV
National Provider Identifier
1730130188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- FAMILY MEDICAL CENTER
- Practice address
- 801 E Williams Ave
Fallon, NV 89406-3052 - Phone
- (775) 423-3151
- Fax
- (775) 428-2166
- NPI assigned
- May 12, 2006
- Organization subpart
- Yes
- Parent organization
- BANNER HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis Dahlen
- Title
- Sr Vice President Finance
- Phone
- (602) 495-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
801 E Williams Ave
Fallon, NV 89406-3052
Mailing address
1441 N 12TH St
Phoenix, AZ 85006-2837
National Provider Directory
National Provider Directory- Part of
- M E Lee MD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193011200000",
"number": "1730130188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 N 12TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E WILLIAMS AVE",
"city": "FALLON",
"state": "NV",
"postal_code": "894063052",
"telephone_number": "775-423-3151",
"fax_number": "775-428-2166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BANNER HEALTH",
"enumeration_date": "2006-05-12",
"last_updated": "2007-10-22",
"status": "A",
"authorized_official_last_name": "DAHLEN",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "SR VICE PRESIDENT FINANCE",
"authorized_official_telephone_number": "602-495-4000"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fallon, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.