BANNER CHURCHILL COMMUNITY HOSPITAL (NPI# 1023113115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023113115 |
Entity Type | Organization |
Organization Name | BANNER CHURCHILL COMMUNITY HOSPITAL |
Practice Address |
801 E Williams Ave Fallon NV 89406-3052 |
Mailing Address |
Po Box 2978 Phoenix AZ 85062-2978 |
Practice Telephone | 7754233151 |
Practice Fax Number | 7754233365 |
Mailing Telephone | 4809620511 |
Mailing Fax Number | 4809620523 |
Enumeration Date | 2006-09-13 |
Last Update Date | 2014-08-04 |
Authorized Official Name | DENNIS E DAHLEN (SR VICE PRESIDENT FINANCE) |
Authorized Official Telephone | 6027474000 |
Is Organization Subpart | Y |
Parent Organization Name | BANNER HEALTH |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282N00000X | General Acute Care Hospital | 638HOS-15 | NV | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | 1201845 | 05 | |
NV | 1001845 | 05 | |
NV | 1101845 | 05 | |
NV | 3201003 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073167961 | Banner Churchill Community Hospital | Durable Medical Equipment & Medical Supplies | 801 N. Williams Ave Suite 22017, 2208, 3301, 3309, Fallon, NV 89406 | 2019-07-29 |
1134601230 | Banner Churchill Community Hospital | Clinic/Center | 1020 New River Pkwy Ste 100, Fallon, NV 89406-7801 | 2018-09-05 |
1639723802 | Banner Churchill Community Hospital | Clinic/Center | 1260 Nevada Pacific Blvd, Fernley, NV 89408-9871 | 2019-07-26 |
1326568767 | Banner Churchill Community Hospital | Clinic/Center | 801 E Williams Ave, Fallon, NV 89406-3052 | 2017-06-27 |
1548780554 | Banner Churchill Community Hospital | Clinic/Center | 1260 Nevada Pacific Blvd, Fernley, NV 89408-9871 | 2017-06-21 |
1265811251 | Banner Churchill Community Hospital | General Acute Care Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 | 2015-05-22 |
Street Address |
801 E WILLIAMS AVE |
City | FALLON |
State | NV |
Zip Code | 89406-3052 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689655888 | Terry T Brown | Radiology | 801 E Williams Ave, Fallon, NV 89406-3052 | 2005-11-07 |
1598379182 | Ivette Fiorella Alvarez Gutierrez | Dietitian, Registered | 801 E Williams Ave, Fallon, NV 89406-3052 | 2020-09-01 |
1326568767 | Banner Churchill Community Hospital | Clinic/Center | 801 E Williams Ave, Fallon, NV 89406-3052 | 2017-06-27 |
1891236584 | Rural Physicians Group - Pannu, P.l.l.c. | Surgery | 801 E Williams Ave, Fallon, NV 89406-3052 | 2017-03-14 |
1669836581 | Aung K Zaw Md LLC | Internal Medicine | 801 E Williams Ave, Fallon, NV 89406-3052 | 2016-04-06 |
1780044222 | Banner Anesthesiologists West, LLC | Clinic/Center | 801 E Williams Ave, Fallon, NV 89406-3052 | 2016-02-25 |
1720452667 | Ajay Taggar Professional Corporation | Internal Medicine | 801 E Williams Ave, Fallon, NV 89406-3052 | 2015-11-16 |
1265811251 | Banner Churchill Community Hospital | General Acute Care Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 | 2015-05-22 |
1275925083 | Christa Robinson | Physician Assistant | 801 E Williams Ave, Fallon, NV 89406-3052 | 2015-03-03 |
1770980690 | Thais Little White Mountains P C | Internal Medicine | 801 E Williams Ave, Fallon, NV 89406-3052 | 2014-11-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073167961 | Banner Churchill Community Hospital | Durable Medical Equipment & Medical Supplies | 801 N. Williams Ave Suite 22017, 2208, 3301, 3309, Fallon, NV 89406 | 2019-07-29 |
1982173936 | Deborah Honeyestewa | Counselor | 1001 Rio Vista Drive, Fallon, NV 89406 | 2018-11-20 |
1528545779 | Be Empowered Health and Wellness LLC | Assistant Behavior Analyst | 1060 Roberta Ct., Fallon, NV 89406 | 2018-07-20 |
1609372325 | Penni Rae Loveland | Community Health Worker | 393 Calloway Court #4, Fallon, NV 89406 | 2018-04-02 |
1205274842 | Sharon Lee Amelung | Counselor | 270 S Maine St., Suite 8, Fallon, NV 89406 | 2013-06-05 |
1295045565 | Mary Ann Dunn | Dental Hygienist | 1001 Rio Vista Dr., C/o Fthc - Dental, Fallon, NV 89406 | 2010-10-20 |
1952578759 | Compassionate In-home Care LLC | Home Health | 37 Whitaker Lane, Fallon, NV 89406 | 2008-05-12 |
1326244757 | Cary Jaques | Dentist | 300 West A Street, Fallon, NV 89406 | 2007-06-22 |
1356542450 | New River Surgical Arts LLC | Clinic/Center | 1120 New River Parkway, Suite 100, Fallon, NV 89406 | 2007-05-29 |
1093927824 | Total Renal Care Inc | Clinic/Center | 1103 New River Parkway, Fallon, NV 89406 | 2007-05-04 |
Find all providers in zip 89406 |
Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922605229 | Ronald Kenan | General Acute Care Hospital | 533 Shewsbury Ave, Las Vegas, NV 89178-2414 | 2020-10-08 |
1407363070 | Hirk LLC | General Acute Care Hospital | 7220 Mira Vista St, Las Vegas, NV 89120-3025 | 2018-01-04 |
1457895336 | De Craig Ranch, LLC | General Acute Care Hospital | 4980 W Sahara Ave, Las Vegas, NV 89102 | 2016-12-12 |
1578007514 | De Craig Ranch, LLC | General Acute Care Hospital | 1550 West Craig Rd, North Las Vegas, NV 89032 | 2016-12-09 |
1922542968 | De Craig Ranch, LLC | General Acute Care Hospital | 4855 Blue Diamond Rd, Las Vegas, NV 89139 | 2016-12-09 |
1346695384 | Cheryle Nichole Peterson | General Acute Care Hospital | 6433 Corrie Canyon St, North Las Vegas, NV 89086-1411 | 2016-04-27 |
1346604790 | Jean-marie Swaine, LLC | General Acute Care Hospital | 2450 Granada Bluff Ct, Las Vegas, NV 89135-1341 | 2016-04-12 |
1023479755 | Anesthesiology Consultants, Inc | General Acute Care Hospital | 7220 S Cimarron Rd Ste 230, Las Vegas, NV 89113-2173 | 2016-03-08 |
1003281452 | Henderson Hospital | General Acute Care Hospital | 1050 West Galleria Drive, Henderson, NV 89011 | 2015-12-10 |
1336540491 | Vegas Hospital Care LLC | General Acute Care Hospital | 8656 W Patrick Lane, Las Vegas, NV 89148 | 2014-09-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.