PUBLIC HEALTH SERVICE IHS MCDERMITT PHARMACY


Address: 112 North Reservation Road, Mcdermitt, NV 89421
Phone: 7755328522

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
IHS Ft McDermitt Health Clinic Other Name - Individual/Organization

Office Location

Street Address 112 NORTH RESERVATION ROAD
City MCDERMITT
State NV
Zip Code 89421

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 332800000X
Grouping Suppliers
Classification Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

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

Competitor

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City MCDERMITT
Zip Code 89421

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Dataset Information

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.

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