PHS SCHURZ INDIAN HEALTH SERVICE (NPI# 1194029322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194029322 |
Entity Type | Organization |
Organization Name | PHS SCHURZ INDIAN HEALTH SERVICE |
Practice Address |
112 North Reservation Road Mcdermitt NV 89421 |
Mailing Address |
Po Box 310010705 Pasadena CA 91110-0001 |
Practice Telephone | 7755328522 |
Practice Fax Number | 7755328024 |
Mailing Telephone | 7755328522 |
Mailing Fax Number | 7755328024 |
Enumeration Date | 2011-01-03 |
Last Update Date | 2014-07-24 |
Authorized Official Name | MR. LOREN ELLERY (DEPUTY AREA DIRECTOR, NV OPERATIONS) |
Authorized Official Telephone | 7757845327 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Street Address |
112 NORTH RESERVATION ROAD |
City | MCDERMITT |
State | NV |
Zip Code | 89421 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871634360 | Leora Rose Greenwood | Physician Assistant | 112 North Reservation Road, Mcdermitt, NV 89421-0055 | 2007-02-09 |
1316449291 | Ft. Mcdermitt Paiute Shoshone Tribe | Clinic/Center | 112 North Reservation Road, Mcdermitt, NV 89421-0315 | 2018-03-06 |
1518416577 | Public Health Service Ihs Mcdermitt Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 112 North Reservation Road, Mcdermitt, NV 89421 | 2016-09-30 |
1457610131 | Thelma Rose Simon | Counselor | 112 North Reservation Road, Fort Mcdermitt Indian Health Service, Mcdermitt, NV 89421 | 2012-05-15 |
1417233057 | Stacy Irene Rust | Registered Nurse | 112 North Reservation Road, Mcdermitt, NV 89421-0457 | 2011-10-27 |
1275820524 | Rodney Dale Burow | Physician Assistant | 112 North Reservation Road, Ihs Ft. Mcdermitt Clinic, Mcdermitt, NV 89421 | 2011-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245627553 | Tracy Marshall | Licensed Practical Nurse | 112 N. Reservation Rd, Mcdermitt, NV 89421 | 2015-04-24 |
1043562101 | Brandon Joseph Grow | Emergency Medical Technician, Paramedic | 20 Olavarria, Ft. Mcdermitt E.m.s., Mcdermitt, NV 89421 | 2012-10-12 |
1871845958 | David Gerald Cameron | Emergency Medical Technician, Paramedic | 20 Olivarria, Ft. Mcdermitt Ems, Mcdermitt, NV 89421 | 2012-10-12 |
1386917011 | Wendy Jewel Dexter | Dietitian, Registered | 112 North Reservation Rd., Mcdermitt, NV 89421 | 2012-02-10 |
1285936351 | Usphs, Indian Health Service, Schurz | Ambulance | 20 Olivarria Street, Mcdermitt, NV 89421 | 2010-11-23 |
1235484262 | Merry Christine Trujillo | Emergency Medical Technician, Intermediate | 20 Olavarria Street, Mc Dermitt, NV 89421-0297 | 2012-07-16 |
1093069445 | Michael Dion Garfield | Emergency Medical Technician, Intermediate | 20 Olavarria, Mc Dermitt, NV 89421-0297 | 2012-11-07 |
1679012579 | Fort Mcdermitt Tribe | Counselor | 112 No Reservation Road, Mcdermitt, NV 89421-0315 | 2017-02-13 |
1801348024 | Fort Mcdermitt Wellness Center | Clinic/Center | 112 No Reservation Rd, Mcdermitt, NV 89421-0315 | 2016-11-04 |
1053394866 | Bettina Giselle Alvarez | Nurse Practitioner | 120 Cordero Road, Mcdermitt, NV 89421-0315 | 2005-11-25 |
Find all providers in zip 89421 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1801357108 | All for Health Health for All Inc | Clinic/Center | 7477 W Lake Mead Blvd Ste 106, Las Vegas, NV 89128-0374 | 2019-03-28 |
1073078788 | Silver State Health Services | Clinic/Center | 200 Foremaster Ln, Las Vegas, NV 89101-1008 | 2019-02-06 |
1356806061 | Silver State Health Services | Clinic/Center | 2215c Renaissance Dr, Las Vegas, NV 89119-6729 | 2019-02-06 |
1952897548 | Community Health Alliance | Clinic/Center | 5295 Sun Valley Blvd Ste 8, Sun Valley, NV 89433 | 2018-07-06 |
1033630710 | Searchlight Healthcare Charities | Clinic/Center | 98 E Lake Mead Pkwy Ste 305, Henderson, NV 89015-6444 | 2017-07-03 |
1598202913 | Silver State Health Services | Clinic/Center | 2965 S Jones Blvd Ste C, Las Vegas, NV 89146-5606 | 2017-01-23 |
1417321902 | Nevada Health Centers Inc. | Clinic/Center | 175 E. Carson Street, Suite A, Virginia City, NV 89440 | 2015-11-20 |
1619348489 | Nevada Health Centers Inc. | Clinic/Center | 618 W. Musser Street, Carson City, NV 89703 | 2015-10-19 |
Find all providers with the same taxonomy |
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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.