WASHOE TRIBE HEALTH CLINIC (NPI# 1396778379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396778379 |
| Entity Type | Organization |
| Organization Name | WASHOE TRIBE HEALTH CLINIC |
| Other Organization Name | WASHOE TRIBAL HEALTH CLINIC |
| Practice Address |
1559 Watasheamu Gardnerville NV 89460-7455 |
| Practice Telephone | 7752654215 |
| Practice Fax Number | 7752656071 |
| Mailing Telephone | 7752654215 |
| Mailing Fax Number | 7752656071 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2011-08-01 |
| Authorized Official Name | MRS. CHERYL DUTTON (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 7752654215 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | FEDERAL FACILITY | Ambulatory Health Care Facilities | |
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1396778379 | 05 | |
| CA | 1396778379 | 05 |
| Other Name | Type Code |
|---|---|
| WASHOE TRIBAL HEALTH CLINIC | Doing Business As Name - Organization |
| Street Address |
1559 WATASHEAMU |
| City | GARDNERVILLE |
| State | NV |
| Zip Code | 89460-7455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043608243 | Washoe Tribe of Nevada and California | General Practice | 1559 Watasheamu, Gardnerville, NV 89460-7455 | 2014-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316352065 | Catherine Fuller | Nurse Practitioner | 1559 Watasheamu Road, Gardnerville, NV 89460 | 2014-06-20 |
| 1104197474 | Marchel Janene Waldburger | Counselor | 765 Indian Trails Rd, Gardnerville, NV 89460 | 2012-01-19 |
| 1215148424 | Michael Lewis Elterman | Marriage & Family Therapist | 1341 Cedar Creek Cir, Gardnerville, NV 89460 | 2007-05-28 |
| 1346650595 | Bela Bert Toth II | Family Medicine | 1559 Watasheamu Rd, Gardnerville, NV 89460 | 2014-04-28 |
| 1760711105 | Donna D Buddington | Marriage & Family Therapist | 399 Mottsville Ln, Gardnerville, NV 89460-6315 | 2009-12-14 |
| 1699052050 | Charles Wood Harris | Physical Therapist | 880 Canyon Creek Ln, Gardnerville, NV 89460-6426 | 2011-11-12 |
| 1609018829 | Jennifer Leslie Luri | Occupational Therapist | 747 Indian Trail Rd, Gardnerville, NV 89460-6507 | 2009-04-02 |
| 1558674556 | Vickie Cracchiolo | Physical Therapist | 271 Fredricksburg Rd, Gardnerville, NV 89460-6572 | 2010-07-19 |
| 1568886364 | Deanna Lopes | Community Health Worker | 1400 Jobs Peak Dr, Gardnerville, NV 89460-6902 | 2014-02-13 |
| 1023042058 | Loren Patrick Simpson | Family Medicine | 1559 Watasheamu Rd, Gardnerville, NV 89460-7455 | 2006-07-10 |
| Find all providers in zip 89460 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1023665676 | Vitality Restored Chiropractic and Wellness Center | Clinic/Center | 1742 W Horizon Ridge Pkwy Ste 110, Henderson, NV 89012-4833 | 2019-08-19 |
| 1891265997 | Elite Beg Limited Liability Co | Clinic/Center | 209 S Stephanie St # B177, Henderson, NV 89012-5501 | 2018-11-30 |
| 1659846699 | Jgbb LLC | Clinic/Center | 801 S Rancho Dr Ste D1-b, Las Vegas, NV 89106-3854 | 2018-10-05 |
| 1790272524 | Las Vegas Sleep Center ( Shamiya) Pllc | Clinic/Center | 2400 S Cimarron Rd, Suite 130, Las Vegas, NV 89117 | 2018-04-17 |
| 1750886784 | Aeva Clinic LLC | Clinic/Center | 4641 Blue Diamond Rd Ste 120a, Las Vegas, NV 89139-7610 | 2018-03-30 |
| 1275034621 | Faber IIi, Ltd. | Clinic/Center | 8811 W Sahara Ave Ste 200, Las Vegas, NV 89117-4813 | 2018-02-21 |
| 1033627120 | Aems | Clinic/Center | 197 Baker Street, Wells, NV 89835 | 2018-01-11 |
| 1710406467 | Anoush H. Tacvorian Do LLC | Clinic/Center | 6525 W. Warm Springs Rd, Suite 100, Las Vegas, NV 89118 | 2017-09-13 |
| Find all providers with the same taxonomy | ||||
| City | GARDNERVILLE |
| Zip Code | 89460 |
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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.