Organization
YERINGTON PAIUTE TRIBAL COUNCIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
:LAURIRE A THOM (CHAIRMAN)
(775) 463-3301
Entity
Organization
Contact information
Practice address
171 CAMPBELL LN, YERINGTON, NV 89447-9768
(775) 783-0222
(775) 463-5925
Mailing address
171 CAMPBELL LN, YERINGTON, NV 89447-9768
(775) 783-0222
(775) 463-5925
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750338646
—
NV
Enumeration date
04/25/2017
Last updated
04/25/2017
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