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PYRAMID LAKE PAIUTE TRIBE NPI 1285740035


NPI Information

NPI: 1285740035
Provider Name: PYRAMID LAKE PAIUTE TRIBE

Doing Business As: PYRAMID LAKE TRIBAL HEALTH CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
705 HIGHWAY 446
NIXON, NV
ZIP 89424
Phone: (775) 574-1018
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PYRAMID LAKE PAIUTE TRIBE is a federally qualified health center (fqhc) clinic center in Nixon, NV. PYRAMID LAKE PAIUTE TRIBE NPI is 1285740035. The provider is registered as an organization entity type.
The provider Is Doing Business As Pyramid Lake Tribal Health Clinic.

The provider's business location address is:

705 HIGHWAY 446
NIXON, NV
ZIP 89424
Phone: (775) 574-1018
Fax: (775) 574-1114

The provider's authorized official is Dawna Lee Brown .
The authorized official title is Health Director and has the following contact phone number (775) 574-1018.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 2/1/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14716673MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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