Washoe Tribe of Nevada and California

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WASHOE TRIBE OF NEVADA AND CALIFORNIA

Doing business as

Washoe Tribe Health Clinic

Practice address

1559 Watasheamu Rd
Gardnerville, NV 89460-7455

Phone

(775) 265-4215

Fax

(775) 265-6071

NPI assigned

Dec 11, 2008

Last updated

Feb 18, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

WASHOE TRIBE OF NEVADA AND CALIFORNIAAs reported in NPPES

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

Authorized official

Name

Mrs. Connie L Souza

Title

Business Office Manager

Phone

(775) 265-4215

Specialties & licenses 1

Addresses

Other names 1

• WASHOE TRIBE HEALTH CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Washoe Tribe of Nevada and California

  dba Washoe Tribal Health Clinic

  • Clinic/Center
  • Gardnerville, NV
  • NPI 1396778379

  O20050602000305

  Same enrollment

Part of

Washoe Family Healing C

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1861637415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 WATASHEAMU RD",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894607455",
            "telephone_number": "775-265-4215",
            "fax_number": "775-265-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 WATASHEAMU RD",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894607455",
            "telephone_number": "775-265-4215",
            "fax_number": "775-265-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHOE TRIBE OF NEVADA AND CALIFORNIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WASHOE TRIBE OF NEVADA AND CALIFORNIA",
        "enumeration_date": "2008-12-11",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "SOUZA",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "775-265-4215",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WASHOE TRIBE HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Washoe Barton Medical Clinic a Nevada Nonprofit Corporation (Carson Valley Health)
• Washoe Barton Medical Clinic a Nevada Nonprofit Corporation (Carson Valley Health)
• Washoe Tribe of Nevada and California (Washoe Tribal Health Center)
• Washoe Tribe of Nevada and California (Washoe Tribal Health Clinic)
• Washoe Tribe of Nevada and California (Washoe Tribal Health Clinic)
• Webb Center for Communication and Learning LLC
• Laura Joan Werner, DC
• David Q Williams, PHARMD
• Michelle Williams
• Michelle Williams

• Durable Medical Equipment & Medical Supplies in Gardnerville, NV
• Providers in Gardnerville, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.