Organization
FORT MCDERMITT WELLNESS CENTER
Active
Parent organization
FORT MCDERMITT PAIUTE SHOSHONE TRIBE
Organization subpart
Yes
Provider details
NPI number
Legal business name
FORT MCDERMITT PAIUTE SHOSHONE TRIBE
Authorized official
VALERIE BARR (CFO)
(775) 532-8259
Entity
Organization
Contact information
Practice address
112 NO RESERVATION RD, MCDERMITT, NV 89421-0315
(775) 532-8522
(775) 532-8024
Mailing address
112 NO RESERVATION RD, MCDERMITT, NV 89421-0315
(775) 532-8522
(775) 532-8024
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
APRN002392
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043338593
NPI
NV
01
—
1053394866
NPI
CA
01
—
1104037704
NPI
CA
01
—
1386917011
NPI
NV
01
—
1518416577
NPI
NV
Enumeration date
11/04/2016
Last updated
11/04/2016
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