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ELY SHOSHONE TRIBE NPI 1548217409


NPI Information

NPI: 1548217409
Provider Name: ELY SHOSHONE TRIBE

Doing Business As: NEWE MEDICAL CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
400 NEWE VIEW
ELY, NV
ZIP 89301
Phone: (775) 289-4133
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ELY SHOSHONE TRIBE is a clinic center in Ely, 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). ELY SHOSHONE TRIBE NPI is 1548217409. The provider is registered as an organization entity type.
The provider Is Doing Business As Newe Medical Clinic.

The provider's business location address is:

400 NEWE VIEW
ELY, NV
ZIP 89301
Phone: (775) 289-4133
Fax: (775) 289-3237

The provider's authorized official is Garret Eugene Garber .
The authorized official title is Clinic Supervisor/pharmacy Manager and has the following contact phone number (775) 289-2134.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 6/17/2022.


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/Center7738NEVADANo
2261Q00000XClinic/CenterNEVADAYes

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
1100509226MEDICAIDNEVADA
2100509227MEDICAIDNEVADA

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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