SHOSHONE PAIUTE TRIBES (NPI# 1790184554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790184554 |
| Entity Type | Organization |
| Organization Name | SHOSHONE PAIUTE TRIBES |
| Other Organization Name | OWYHEE COMMUNITY HEALTH FACILITY LABRATORY |
| Practice Address |
1623 Hospital Loop Owyhee NV 89832-1200 |
| Mailing Address |
Po Box 130 1623 Hospital Loop Road Owyhee NV 89832 |
| Practice Telephone | 7757572415 |
| Practice Fax Number | 7757572066 |
| Mailing Telephone | 7757572415 |
| Mailing Fax Number | 7757572066 |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |
| Authorized Official Name | ANTHONY MARSHALL (TRIBAL HEALTH ADMINISTRATOR) |
| Authorized Official Telephone | 7757572415 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | NV | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | CLIA | 29D0697857 | 01 |
| Other Name | Type Code |
|---|---|
| Owyhee Community Health Facility Labratory | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104181791 | Shoshone Paiute Tribes | Ambulance | 1623 Hospital Loop Road, Owyhee, NV 89832-9800 | 2012-07-10 |
| 1912205378 | Shoshone Paiute Tribes | Pharmacy | 1623 Hospital Loop, Owyhee, NV 89832-1200 | 2011-03-09 |
| Street Address |
1623 HOSPITAL LOOP |
| City | OWYHEE |
| State | NV |
| Zip Code | 89832-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912205378 | Shoshone Paiute Tribes | Pharmacy | 1623 Hospital Loop, Owyhee, NV 89832-1200 | 2011-03-09 |
| 1265967962 | Tammy Wilson | Emergency Medical Technician, Basic | 1623 Hospital Loop, Owyhee, NV 89832-1200 | 2017-05-01 |
| 1164957742 | Shayanne Rose | Emergency Medical Technician, Basic | 1623 Hospital Loop, Owyhee, NV 89832-1200 | 2017-04-20 |
| 1578944526 | Kelly Helt | Registered Nurse | 1623 Hospital Loop, Owyhee, NV 89832-1200 | 2015-06-16 |
| 1891174082 | Quade Thomas | Emergency Medical Technician, Basic | 1623 Hospital Loop, Owyhee, NV 89832-1200 | 2015-05-21 |
| 1811394976 | Tanner Cavanaugh | Emergency Medical Technician, Basic | 1623 Hospital Loop, Owyhee, NV 89832-1200 | 2014-12-04 |
| 1235533910 | Elizabeth Sam | Registered Nurse | 1623 Hospital Loop, Owyhee, NV 89832-1200 | 2014-10-09 |
| 1366876294 | Tifney Madalena | Licensed Practical Nurse | 1623 Hospital Loop, Owyhee, NV 89832 | 2013-08-28 |
| 1194158535 | Sharon Cummins | Nurse's Aide | 1623 Hospital Loop, Owyhee, NV 89832 | 2013-08-20 |
| 1821420548 | Christopher J Boswell | Registered Nurse | 1623 Hospital Loop, Owyhee, NV 89832 | 2013-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659872851 | Lucas Mason | Non-emergency Medical Transport (VAN) | 10764 Thomas Loop, Owyhee, NV 89832 | 2018-02-22 |
| 1184016610 | Danica Williams | Case Manager/Care Coordinator | 8644 Mason Lane, Bruneau, ID 89832 | 2015-02-20 |
| 1376896589 | Roper Ty Egan | Personal Emergency Response Attendant | 1623 Hospital Rd, Owyhee, NV 89832 | 2012-10-25 |
| 1528230224 | Shoshone-paiute Tribes | Clinic/Center | 1623 Hospital Road, Owyhee, NV 89832 | 2008-04-02 |
| 1265603435 | Ernesto Adolfo Borgards | Dentist | 130 Nv State Hwy 225, Owyhee, NV 89832 | 2008-03-17 |
| 1477736726 | Maxwell Johnson | Internal Medicine | Hwy 225, Owyhee, Owyhee, NV 89832 | 2007-12-10 |
| 1831391762 | Barbara Sue Burri | Dietitian, Registered | State Route 225, Owyhee Community Health Facility, Owyhee, NV 89832 | 2007-06-04 |
| 1932329216 | Joel L Bowers | Registered Nurse | Nv State Hwy 225, Owyhee, NV 89832 | 2007-04-27 |
| 1184055675 | Christopher Collett | Emergency Medical Technician, Intermediate | 1623 Hospital Loop Road, Owyhee, NV 89832 | 2013-12-09 |
| 1407287972 | Leilani Hanchor | Emergency Medical Technician, Basic | 1623 Hospital Loop Road, Owyhee, NV 89832 | 2013-12-09 |
| Find all providers in zip 89832 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
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| 1881204402 | Laboratory Corporation of America | Clinical Medical Laboratory | 731 Pilot Rd Ste E, Las Vegas, NV 89119-4437 | 2020-08-07 |
| 1407474190 | My Genius Lab LLC | Clinical Medical Laboratory | 3017 W Charleston Blvd Ste 10, Las Vegas, NV 89102-1927 | 2020-07-08 |
| 1245876085 | Veni-express Inc | Clinical Medical Laboratory | 200 W. Mcdonald St., Beatty, NV 89003-0001 | 2019-11-26 |
| 1114577152 | Acms-nv LLC | Clinical Medical Laboratory | 6255 Mcleod Dr Ste 26, Las Vegas, NV 89120-4075 | 2019-09-11 |
| 1518429703 | Imperial Labs | Clinical Medical Laboratory | 2950 S Rainbow Blvd Ste 260, Las Vegas, NV 89146-6213 | 2019-04-05 |
| 1235601006 | Community First LLC | Clinical Medical Laboratory | 10789 Double R Blvd Ste 102, Reno, NV 89521-9010 | 2018-12-18 |
| 1588158950 | Nevada Stat Laboratory | Clinical Medical Laboratory | 2675 S Jones Blvd Ste 111, Las Vegas, NV 89146-5607 | 2018-06-19 |
| 1386133650 | Reno Liquid LLC | Clinical Medical Laboratory | 14825 Kivett Ln, Reno, NV 89521-8317 | 2018-05-02 |
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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.