FORT MCDERMITT WELLNESS CENTER NPI 1801348024

NPI Information

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 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:

Other Identifiers

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

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