NPIMap

Organization Active NPI

Yerington Paiute Tribal Council

  • Health Service Clinic/Center
  • Yerington, NV
National Provider Identifier
1750338646
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
YERINGTON PAIUTE TRIBAL COUNCIL
Practice address
171 Campbell LN
Yerington, NV 89447-9731
Phone
(775) 463-3335
Fax
(775) 463-5925
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Mr. Darrell Holloway
Title
Health Director
Phone
(775) 783-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

171 Campbell LN
Yerington, NV 89447-9731

Mailing address

171 Campbell LN
Yerington, NV 89447-9731
Phone (775) 463-3335

Other identifiers 4

IdentifierTypeStateIssuer
004710002MedicaidNV
100500254MedicaidNV
003110002MedicaidNV
100502779MedicaidNV

Other names 1

  • Yerington Paiute Tribal Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040713000411 NV Part B Supplier - Clinic/Group Practice 1355329566 Receives reassigned benefits from 12 practitioners
Practice locations: Yerington, NV
O20250602002257 TX Part B Supplier - Clinic/Group Practice 1355329566 Receives reassigned benefits from 4 practitioners
Practice locations: Yerington, NV

National Provider Directory

National Provider Directory

Locations

171 Campbell Ln
Yerington, NV 89447
Phone (775) 463-3335

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

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": "1759276800000",
    "number": "1750338646",
    "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": "894479731",
            "telephone_number": "775-463-3335",
            "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": "894479731",
            "telephone_number": "775-463-3335",
            "fax_number": "775-463-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YERINGTON PAIUTE TRIBAL COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "775-783-0222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004710002",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500254",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003110002",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100502779",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yerington Paiute Tribal Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yerington, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.