NPI 1730466608 · live from the CMS NPI Registry
Dhhs Ihs Phoenix Area
Family Medicine in Elko, NV. National Provider Identifier 1730466608, active.
NPI record
| NPI | 1730466608 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 515 Shoshone Cir, Elko, NV 89801 |
| Practice phone | 775-738-2252 |
| Mailing address | Po Box 31001-0707, Pasadena, CA 91110 |
| Enumerated | November 7, 2011 |
| Last updated | August 29, 2012 |
| Authorized official | Cathy Welchert, Chief Executive Officer |
| Other names | Southern Bands Health Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | — |
| Dentist | 122300000X | — |
| Dietitian, Registered | 133V00000X | — |
| Registered Nurse | 163W00000X | — |
| Pharmacist | 183500000X | — |
| Audiologist | 231H00000X | — |
| Physician Assistant | 363A00000X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.