PYRAMID LAKE TRIBAL HEALTH CLINIC NPI 1871972661

NPI Information

NPI: 1871972661
Provider Name: PYRAMID LAKE TRIBAL HEALTH CLINIC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 29D0703165

Address:
705 HIGHWAY 446
NIXON, NV
ZIP 89424
Phone: (775) 574-1018
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PYRAMID LAKE TRIBAL HEALTH CLINIC is a rural health clinic center in Nixon, NV. PYRAMID LAKE TRIBAL HEALTH CLINIC NPI is 1871972661. The provider is registered as an organization entity type.

The provider's business location address is:

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

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

The CLIA number assigned to this NPI record is 29D0703165 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2015 and was last updated on 5/26/2015.

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
1	261QR1300X	Clinic/Center	Rural Health	RN44243	NEVADA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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