Organization
WALKER RIVER PAIUTE TRIBAL CLINIC
Active
Parent organization
WALKER RIVER PAIUTE TRIBE
Other names
Walker River Paiute Tribe
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALKER RIVER PAIUTE TRIBE
Authorized official
MR. KENNETH RICHARDSON (CLINIC DIRECTOR)
(775) 773-2005
Entity
Organization
Contact information
Practice address
PO BOX C, PO BOX C, SCHURZ, NV 89427-0502
(775) 773-2005
(775) 773-2012
Mailing address
PO BOX C, SCHURZ, NV 89427-0502
(775) 773-2005
(775) 773-2012
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
431
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004711030
—
NV
Enumeration date
04/13/2009
Last updated
04/13/2009
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