# NORTHERN INYO HEALTHCARE DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780230573
- **Authorized official:** CHRISTIAN WALLIS (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (760) 873-2838

## Contact information

- **Practice address:** 150 PIONEER LN, BISHOP, CA 93514-2556
- **Practice address phone:** (760) 873-5811
- **Mailing address:** 150 PIONEER LN, BISHOP, CA 93514-2556
- **Mailing address phone:** (760) 873-5811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2019
- **Last updated:** 04/29/2025