# FORT MCDERMITT TRIBE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fort McDermitt Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124567995
- **Authorized official:** VALERIE BARR (CFO)
- **Authorized official phone:** (775) 532-8259

## Contact information

- **Practice address:** 112 NO RESERVATION ROAD, MCDERMITT, NV 89421-0315
- **Practice address phone:** (775) 532-8522
- **Practice address fax:** (775) 532-8024
- **Mailing address:** 112 NO RESERVATION ROAD, MCDERMITT, NV 89421-0315
- **Mailing address phone:** (775) 532-8522
- **Mailing address fax:** (775) 532-8024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/14/2017
- **Last updated:** 02/14/2017