DHHS IHS Phoenix Area

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DHHS IHS PHOENIX AREA

Doing business as

Southern Bands Health Center

Practice address

515 Shoshone Cir
Elko, NV 89801-5072

Phone

(775) 738-2252

Fax

(775) 748-1455

NPI assigned

Nov 7, 2011

Last updated

Aug 29, 2012By 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

Cathy E Welchert

Title

Chief Executive Officer

Phone

(775) 738-2252

Specialties & licenses 8

Addresses

Other names 1

• SOUTHERN BANDS HEALTH CENTER Doing business as

Tax ID family

DHHS IHS Phoenix Area2 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.

• DHHS IHS Phoenix Area

  dba Southern Bands Health Center

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Elko, NV
  • NPI 1629113881
  NPD tax ID

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1730466608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-0707",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911100001",
            "telephone_number": "775-738-2252",
            "fax_number": "775-748-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 SHOSHONE CIR",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898015072",
            "telephone_number": "775-738-2252",
            "fax_number": "775-748-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHHS IHS PHOENIX AREA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "WELCHERT",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "775-738-2252"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHERN BANDS HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gorja Renee Denny
• Desert Health Care Facilities Inc (Elko Health Care, LLC - Highland Manor of Elko)
• Natalee Desrosiers
• Dorothy J Dexter, MBA, CPA
• DHHS IHS Phoenix Area (Southern Bands Health Center)
• DHHS IHS Phoenix Area (Southern Bands Health Center)
• Dialysis Clinic Inc.
• Norma Liliana Diaz
• Cortney Nichole Dickenson, LCSW
• Thomas Dickson, DDS

• Family Medicine Physician in Elko, NV
• Providers in Elko, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.