PYRAMID LAKE TRIBAL HEALTH CLINIC (NPI# 1871972661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871972661 |
| Entity Type | Organization |
| Organization Name | PYRAMID LAKE TRIBAL HEALTH CLINIC |
| Practice Address |
705 Highway 446 Nixon NV 89424 |
| Mailing Address |
8175 S Virginia St #850-284 Reno NV 89511-8922 |
| Practice Telephone | 7755741018 |
| Mailing Telephone | 7752093996 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |
| Authorized Official Name | DAWNA BROWN (HEALTH DIRECTOR) |
| Authorized Official Telephone | 7755741018 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
RN44243 | NV | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386989465 | Pyramid Lake Tribal Health Clinic | Clinic/Center | 7337 Sansol Dr, Sparks, NV 89436-6252 | 2012-11-30 |
| Street Address |
705 HIGHWAY 446 |
| City | NIXON |
| State | NV |
| Zip Code | 89424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770538332 | Guilherme Abel Mabunda | Family Medicine | 705 Highway 446, Nixon, NV 89424-0227 | 2006-05-23 |
| 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 |
| 1427508019 | Hyrum Owen Lott | Pharmacist | 705 Highway 446, Nixon, NV 89424 | 2016-10-07 |
| 1902250160 | Tina Louise Nash | Licensed Practical Nurse | 705 Highway 446, Nixon, NV 89424 | 2016-04-14 |
| 1356721849 | Beverly Teichgraeber | Registered Nurse | 705 Highway 446, Nixon, NV 89424 | 2015-06-01 |
| 1891045266 | Billie Eileen Vonengeln | Dental Hygienist | 705 Highway 446, Nixon, NV 89424 | 2012-09-13 |
| 1558622159 | Jason Molino | Clinic/Center | 705 Highway 446, Nixon, NV 89424-0117 | 2012-05-31 |
| 1386926293 | Ellen Anya Houston | Registered Nurse | 705 Highway 446, Nixon, NV 89424 | 2011-09-16 |
| 1225168735 | Nicholas J Bunk | Dentist | 705 Highway 446, Nixon, NV 89424 | 2007-03-06 |
| 1710068275 | Judy Ann Thomas | Registered Nurse | 705 Highway 446, Nixon, NV 89424 | 2006-10-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881007037 | Pyramid Lake Paiute Tribe | Ambulance | 104 State Route 447, Nixon, NV 89424 | 2014-06-05 |
| 1558499921 | Veronica R Domingues-gephart | Marriage & Family Therapist | 705 Hwy. 446, Nixon, NV 89424 | 2007-02-28 |
| 1780695866 | Timothy Louis Ricks | Dentist | Pyramid Lake Tribal Health Clinic, 705 Highway 446, Nixon, NV 89424 | 2006-08-11 |
| 1467490847 | Nancy Jane Magnusson | Registered Nurse | 705 Hwy 446, Nixon, NV 89424 | 2006-06-04 |
| 1851753669 | Johnathen Bidlake-prichard | Emergency Medical Technician, Intermediate | 104 State Route 447, Nixon, NV 89424 | 2016-03-22 |
| 1285031195 | Leon Kinerson | Health Educator | 705 Hwy 446, Nixon, NV 89424 | 2014-11-21 |
| 1649514456 | Susan H Roaldson | Registered Nurse | 705 Hwy 446, Nixon, NV 89424 | 2012-11-16 |
| 1366682353 | Rita Romo | Licensed Practical Nurse | 705 Hwy 446, Nixon, NV 89424 | 2009-03-03 |
| 1588819148 | Susan J Horvat | Registered Nurse | 705 Hwy 446, Nixon, NV 89424 | 2008-11-24 |
| 1093960726 | Rosanne J Pang | Licensed Practical Nurse | 705 Hwy 446, Nixon, NV 89424 | 2008-11-21 |
| Find all providers in zip 89424 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1811412497 | Boulder City Hospital Inc | Clinic/Center | 999 Adams Blvd, Boulder City, NV 89005-2244 | 2017-08-04 |
| 1326568767 | Banner Churchill Community Hospital | Clinic/Center | 801 E Williams Ave, Fallon, NV 89406-3052 | 2017-06-27 |
| 1548780554 | Banner Churchill Community Hospital | Clinic/Center | 1260 Nevada Pacific Blvd, Fernley, NV 89408-9871 | 2017-06-21 |
| 1558633933 | Humboldt General Hospital | Clinic/Center | 118 E Haskell St, Winnemucca, NV 89445-3247 | 2012-02-01 |
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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.