Fort McDermitt Wellness Center
Organization Active NPI Clinic/Center · McDermitt, NV
NPI 1801348024 · NPPES record last updated Nov 4, 2016
Key facts
- NPI
- 1801348024
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- APRN002392 (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
- Organization subpart
- Yes
- Parent organization (as reported)
- FORT MCDERMITT PAIUTE SHOSHONE TRIBE
Authorized official
- Name
- Valerie Barr
- Title
- Cfo
- Phone
- (775) 532-8259
Parent organization (reported in NPPES) 1
National Provider Directory
- Part of
- Fort McDermitt Wellness Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | APRN002392 | NV | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053394866 | Other | CA | NPI |
| 1104037704 | Other | CA | NPI |
| 1518416577 | Other | NV | NPI |
| 1386917011 | Other | NV | NPI |
| 1043338593 | Other | NV | NPI |
Other providers in McDermitt, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.