SHOSHONE PAIUTE TRIBES (NPI# 1912205378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912205378 |
| Entity Type | Organization |
| Organization Name | SHOSHONE PAIUTE TRIBES |
| Other Organization Name | OWYHEE COMMUNITY HEALTH FACILITY |
| Practice Address |
1623 Hospital Loop Owyhee NV 89832-1200 |
| Mailing Address |
Po Box 130 Owyhee NV 89832-0130 |
| Practice Telephone | 7757572415 |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2015-04-07 |
| NPI Deactivation Date | 08/13/2013 |
| NPI Reactivation Date | 2013-12-11 |
| Authorized Official Name | RULAN STANDS (ACTING TRIBAL ADMINISTRATOR) |
| Authorized Official Telephone | 7757572415 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2992584 | 01 |
| Other Name | Type Code |
|---|---|
| OWYHEE COMMUNITY HEALTH FACILITY | 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 |
| 1790184554 | Shoshone Paiute Tribes | Clinical Medical Laboratory | 1623 Hospital Loop, Owyhee, NV 89832-1200 | 2014-08-18 |
| Street Address |
1623 HOSPITAL LOOP |
| City | OWYHEE |
| State | NV |
| Zip Code | 89832-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1790184554 | Shoshone Paiute Tribes | Clinical Medical Laboratory | 1623 Hospital Loop, Owyhee, NV 89832-1200 | 2014-08-18 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 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 |
| 1518416577 | Public Health Service Ihs Mcdermitt Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 112 North Reservation Road, Mcdermitt, NV 89421 | 2016-09-30 |
| 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 |
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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.