NPI 1023113115 · live from the CMS NPI Registry
Banner Churchill Community Hospital
General Acute Care Hospital in Fallon, NV. National Provider Identifier 1023113115, active.
NPI record
| NPI | 1023113115 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | General Acute Care Hospital 282N00000X |
| Practice location | 801 E Williams Ave, Fallon, NV 89406 |
| Practice phone | 775-423-3151 |
| Mailing address | 2901 N Central Ave Ste 160, Phoenix, AZ 85012 |
| Enumerated | September 13, 2006 |
| Last updated | April 3, 2026 |
| Authorized official | Dennis Laraway, Cfo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Acute Care Hospital primary | 282N00000X | 638HOS-15 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.