Organization
FALLON TRIBAL HEALTH CENTER
Active
Parent organization
FALLON PAIUTE-SHOSHONE TRIBE
Other names
Fallon Tribal Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FALLON PAIUTE-SHOSHONE TRIBE
Authorized official
MR. JON PISHION (HEALTH DIRECTOR)
(775) 423-3634
Entity
Organization
Contact information
Practice address
1001 RIO VISTA DR, FALLON, NV 89406-5463
(775) 423-3634
(775) 423-3246
Mailing address
1001 RIO VISTA DR, FALLON, NV 89406-5463
(775) 423-3634
(775) 423-2287
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00470100100
—
NV
05
—
701001
—
NV
Enumeration date
06/04/2006
Last updated
11/02/2021
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