FORT MCDERMITT WELLNESS CENTER NPI 1801348024

NPI Information

  • NPI: 1801348024
  • Provider Name: FORT MCDERMITT WELLNESS CENTER
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 29D2034384
  • Address: 112 NO RESERVATION RD
    MCDERMITT, NV
    ZIP 89421
  • Phone: (775) 532-8522

Map and Directions

Get Directions

NPI Details

FORT MCDERMITT WELLNESS CENTER is a clinic center in Mcdermitt, 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). FORT MCDERMITT WELLNESS CENTER NPI is 1801348024. The provider is registered as an organization entity type.

The provider's business location address is:

112 NO RESERVATION RD
MCDERMITT, NV
ZIP 89421-315
Phone: (775) 532-8522
Fax: (775) 532-8024

The provider's authorized official is Valerie Barr .
The authorized official title is Cfo and has the following contact phone number (775) 532-8259.

The CLIA number assigned to this NPI record is 29D2034384 - other - tribal health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2016 and was last updated on 11/4/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterAPRN002392NEVADAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11518416577OTHERNEVADANPI
21043338593OTHERNEVADANPI
31104037704OTHERCALIFORNIANPI
41386917011OTHERNEVADANPI
51053394866OTHERCALIFORNIANPI

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI