| Fort Mcdermitt Wellness Center | |
|
112 No Reservation Rd Mcdermitt NV 89421-0315 | |
| (775) 532-8522 | |
| (775) 532-8024 |
| Full Name | Fort Mcdermitt Wellness Center |
|---|---|
| Speciality | Clinic/center |
| Location | 112 No Reservation Rd, Mcdermitt, Nevada |
| Authorized Official Name and Position | Valerie Barr (CFO) |
| Authorized Official Contact | 7755328259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Mcdermitt Wellness Center 112 No Reservation Rd Mcdermitt NV 89421-0315 Ph: (775) 532-8522 | Fort Mcdermitt Wellness Center 112 No Reservation Rd Mcdermitt NV 89421-0315 Ph: (775) 532-8522 |
| NPI Number | 1801348024 |
|---|---|
| Provider Enumeration Date | 11/04/2016 |
| Last Update Date | 11/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801348024 | NPI | - | NPPES |
| 1053394866 | Other | CA | NPI |
| 1104037704 | Other | CA | NPI |
| 1518416577 | Other | NV | NPI |
| 1386917011 | Other | NV | NPI |
| 1043338593 | Other | NV | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | APRN002392 (Nevada) | Primary |
Ft. Mcdermitt Paiute Shoshone Tribe Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 North Reservation Rd, Mcdermitt, NV 89421 Phone: 775-532-8522 Fax: 775-532-8024 |