Organization
ELY SHOSHONE TRIBE
Active
Parent organization
ELY SHOSHONE TRIBE
Other names
NEWE MEDICAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELY SHOSHONE TRIBE
Authorized official
GARRET EUGENE GARBER PHARM D (CLINIC SUPERVISOR/PHARMACY MANAGER)
(775) 289-2134
Entity
Organization
Contact information
Practice address
400 NEWE VIEW, ELY, NV 89301
(775) 289-4133
(775) 289-3237
Mailing address
400 B NEWE VW, ELY, NV 89301-3139
(775) 289-2134
(775) 289-4728
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
7738
NV
261Q00000X
Clinic/Center
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509226
—
NV
05
—
100509227
—
NV
Enumeration date
05/27/2006
Last updated
06/17/2022
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