NPIMap

Organization Active NPI

Fort McDermitt Wellness Center

  • Clinic/Center
  • McDermitt, NV
National Provider Identifier
1801348024
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
APRN002392 Issued in NV
Legal business name
FORT MCDERMITT WELLNESS CENTER
Practice address
112 No Reservation Rd
McDermitt, NV 89421-0315
Phone
(775) 532-8522
Fax
(775) 532-8024
NPI assigned
Nov 4, 2016
Last updated
Nov 4, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
FORT MCDERMITT PAIUTE SHOSHONE TRIBEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Authorized official

Name
Valerie Barr
Title
Cfo
Phone
(775) 532-8259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X APRN002392 NV Primary

Addresses

Primary practice location

112 No Reservation Rd
McDermitt, NV 89421-0315

Mailing address

112 No Reservation Rd
McDermitt, NV 89421-0315
Phone (775) 532-8522

National Provider Directory

National Provider Directory
Part of
Fort McDermitt Wellness Center

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.

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1801348024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 NO RESERVATION RD",
            "city": "MCDERMITT",
            "state": "NV",
            "postal_code": "894210315",
            "telephone_number": "775-532-8522",
            "fax_number": "775-532-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 NO RESERVATION RD",
            "city": "MCDERMITT",
            "state": "NV",
            "postal_code": "894210315",
            "telephone_number": "775-532-8522",
            "fax_number": "775-532-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT MCDERMITT WELLNESS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FORT MCDERMITT PAIUTE SHOSHONE TRIBE",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "775-532-8259"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NV",
            "license": "APRN002392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDermitt, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.