Organization
SHOSHONE PAIUTE TRIBES
Active
Other names
OWYHEE COMMUNITY HEALTH FACILITY
Organization subpart
No
Provider details
NPI number
Authorized official
RULAN STANDS (ACTING TRIBAL ADMINISTRATOR)
(775) 757-2415
Entity
Organization
Contact information
Practice address
1623 HOSPITAL LOOP, OWYHEE, NV 89832-1200
(775) 757-2415
Mailing address
PO BOX 130, OWYHEE, NV 89832-0130
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2992584
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/09/2011
Last updated
04/07/2015
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