PUBLIC HEALTH SERVICE IHS MCDERMITT PHARMACY (NPI# 1518416577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518416577 |
| Entity Type | Organization |
| Organization Name | PUBLIC HEALTH SERVICE IHS MCDERMITT PHARMACY |
| Other Organization Name | IHS FT MCDERMITT HEALTH CLINIC |
| Practice Address |
112 North Reservation Road Mcdermitt NV 89421 |
| Mailing Address |
Po Box 31001-0705 Pasadena CA 91110-0705 |
| Practice Telephone | 7755328522 |
| Practice Fax Number | 7755328024 |
| Mailing Telephone | 7755328522 |
| Mailing Fax Number | 7755328024 |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |
| Authorized Official Name | MRS. BETTINA GISELLE ALVAREZ (NURSE PRACTITIONER/CLINIC DIRECTOR) |
| Authorized Official Telephone | 7755328522 |
| Authorized Official Credential | N.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| IHS Ft McDermitt Health Clinic | Other Name - Individual/Organization |
| 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 |
| 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 |
| 1194029322 | Phs Schurz Indian Health Service | Clinic/Center | 112 North Reservation Road, Mcdermitt, NV 89421 | 2011-01-03 |
| 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 | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154952380 | Te-moak Tribe of Western Shoshone | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 525 Sunset St, Elko, NV 89801-2539 | 2020-01-27 |
| 1053858480 | Acrx Specialty Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 3200 Soaring Gulls Dr Ste 101, Las Vegas, NV 89129-2198 | 2017-01-24 |
| 1356556682 | Walker River Tribal Health Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2 Hospital Rd, Schurz, NV 89427 | 2007-05-11 |
| 1760967665 | Pyramid Lake Indian Health Service Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 705 Highway 446, Nixon, NV 89424 | 2018-09-27 |
| 1770790792 | Pyramid Lake Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 705 Hwy 446, Nixon, NV 89424 | 2007-05-17 |
| 1538298773 | Yerington Tribal Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 171 Campbell Ln, Yerington, NV 89447-9731 | 2007-03-05 |
| 1932237229 | Pyramid Lake Paiute Tribe | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 705 Hwy. 446, Nixon, NV 89424 | 2007-03-01 |
| 1336274646 | Reno-sparks Tribal Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1715 Kuenzli St, Reno, NV 89502-1117 | 2007-02-23 |
| 1114052198 | Fallon Tribal Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1001 Rio Vista St, Fallon, NV 89406-5463 | 2007-02-22 |
| 1629113881 | Dhhs Ihs Phoenix Area | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 515 Shoshone Cir, Elko, NV 89801-5072 | 2007-02-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PUBLIC HEALTH SERVICE IHS MCDERMITT PHARMACY.
| 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.