institution
Ft. Mcdermitt Paiute Shoshone Tribe
Federally Qualified Health Center (FQHC) in Mcdermitt, Nevada
NPI 1316449291

Ft. Mcdermitt Paiute Shoshone Tribe is a Federally Qualified Health Center (FQHC) based in Mcdermitt, NV and is specialized in Federally Qualified Health Center (FQHC). Ft. Mcdermitt Paiute Shoshone Tribe practices in Mcdermitt, NV. The NPI Number for Ft. Mcdermitt Paiute Shoshone Tribe is 1316449291 and holds a License No. (Nevada).

The current practice location address for Ft. Mcdermitt Paiute Shoshone Tribe is 112 North Reservation Rd, Mcdermitt, NV and can be reached out via phone at 775-532-8522 and via fax at 775-532-8024.

Location: 112 North Reservation Rd, Mcdermitt, NV, 89421-0315
institution
Provider Profile Details
NPI Number
1316449291
Provider Name
Ft. Mcdermitt Paiute Shoshone Tribe
Credential
Provider Entity Type
Organization
Address
112 North Reservation Rd, Mcdermitt, NV, 89421-0315
Phone Number
775-532-8522
Fax Number
775-532-8024
Provider Enumeration Date
03/06/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1588710719 05 CA
100561450 05 NV
institution
Provider Business Practice Location Address Details
Address
112 North Reservation Rd
City
State
Zip
89421-0315
Phone Number
775-532-8522
Fax Number
775-532-8024
person
Provider Business Mailing Address Details
Address
112 North Reservation Rd
City
State
Zip
89421-0315
Phone Number
775-532-8522
Fax Number
775-532-8024
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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