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WASHOE TRIBE OF NEVADA AND CALIFORNIA NPI 1396778379


NPI Information

NPI: 1396778379
Provider Name: WASHOE TRIBE OF NEVADA AND CALIFORNIA

Doing Business As: WASHOE TRIBAL HEALTH CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 29D0713068

Address:
1559 WATASHEAMU
GARDNERVILLE, NV
ZIP 89460
Phone: (775) 265-4215
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WASHOE TRIBE OF NEVADA AND CALIFORNIA is a clinic center in Gardnerville, NV. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). WASHOE TRIBE OF NEVADA AND CALIFORNIA NPI is 1396778379. The provider is registered as an organization entity type.
The provider Is Doing Business As Washoe Tribal Health Clinic.

The provider's business location address is:

1559 WATASHEAMU
GARDNERVILLE, NV
ZIP 89460-455
Phone: (775) 265-4215
Fax: (775) 265-6071

The provider's authorized official is Teri Gilbert-eisenga .
The authorized official title is Director, Tribal Health and has the following contact phone number (775) 265-8621.

The CLIA number assigned to this NPI record is 29D0713068 - other - federal tribal hlth ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 5/25/2022.


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
1261Q00000XClinic/CenterFEDERAL FACILITYNo
2261Q00000XClinic/CenterYes

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
11396778379MEDICAIDNEVADA
21396778379MEDICAIDCALIFORNIA

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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