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Ely Shoshone Tribe
Non-Pharmacy Dispensing Site in Ely, Nevada
NPI 1740434844

Ely Shoshone Tribe is a Non-Pharmacy Dispensing Site based in Ely, NV. Ely Shoshone Tribe practices in Ely, NV. The NPI Number for Ely Shoshone Tribe is 1740434844 and holds a License No. (Nevada).

The current practice location address for Ely Shoshone Tribe is 400 Newe View, Ely, NV and can be reached out via phone at 775-289-4133 and via fax at 775-289-3890.

Location: 400 Newe View, Ely, NV, 89301-3139
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740434844
Provider Name
Ely Shoshone Tribe
Credential
Provider Entity Type
Organization
Address
400 Newe View, Ely, NV, 89301-3139
Phone Number
775-289-4133
Fax Number
775-289-3890
Provider Enumeration Date
11/17/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1548217409 01 CLINIC NPI
2991087 01 NPDS
institution
Provider Business Practice Location Address Details
Address
400 Newe View
City
Ely
State
Nevada
Zip
89301-3139
Phone Number
775-289-4133
Fax Number
775-289-3890
person
Provider Business Mailing Address Details
Address
400 Newe View
City
Ely
State
Nevada
Zip
89301-3139
Phone Number
775-289-4133
Fax Number
775-289-3890
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
332800000X
License No.
()
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
()
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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