NPIMap

Organization Active NPI

Shoshone Paiute Tribes

Doing business as Owyhee Community Health Facility

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Owyhee, NV
National Provider Identifier
1912205378
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X
Legal business name
SHOSHONE PAIUTE TRIBES
Doing business as
Owyhee Community Health Facility
Practice address
1623 Hospital Loop
Owyhee, NV 89832-1200
Phone
(775) 757-2415
NPI assigned
Mar 9, 2011
Reactivated
Dec 11, 2013
Last updated
Apr 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Authorized official

Name
Rulan Stands
Title
Acting Tribal Administrator
Phone
(775) 757-2415

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X NU Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

1623 Hospital Loop
Owyhee, NV 89832-1200

Mailing address

PO Box 130
Owyhee, NV 89832-0130

Other identifiers 1

IdentifierTypeStateIssuer
2992584OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • OWYHEE COMMUNITY HEALTH FACILITY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Owyhee Community Health Facility4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1912205378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "OWYHEE",
            "state": "NV",
            "postal_code": "898320130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 HOSPITAL LOOP",
            "city": "OWYHEE",
            "state": "NV",
            "postal_code": "898321200",
            "telephone_number": "775-757-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOSHONE PAIUTE TRIBES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2015-04-07",
        "deactivation_date": "2013-08-13",
        "reactivation_date": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "STANDS",
        "authorized_official_first_name": "RULAN",
        "authorized_official_title_or_position": "ACTING TRIBAL ADMINISTRATOR",
        "authorized_official_telephone_number": "775-757-2415"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2992584",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OWYHEE COMMUNITY HEALTH FACILITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owyhee, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.