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Organization
SHOSHONE PAIUTE TRIBES
Active
Organization
SHOSHONE PAIUTE TRIBES
Active
Other names
OWYHEE COMMUNITY HEALTH FACILITY
Organization subpart
No
Provider details
NPI number
Authorized official
RULAN STANDS (ACTING TRIBAL ADMINISTRATOR)
(775) 757-2415
Entity
Organization
Contact information
Practice address
1623 HOSPITAL LOOP, OWYHEE, NV 89832-1200
(775) 757-2415
Mailing address
PO BOX 130, OWYHEE, NV 89832-0130
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2992584
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/09/2011
Last updated
04/07/2015
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