DHHS IHS PHOENIX AREA (NPI# 1629113881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629113881 |
| Entity Type | Organization |
| Organization Name | DHHS IHS PHOENIX AREA |
| Other Organization Name | SOUTHERN BANDS HEALTH CENTER |
| Practice Address |
515 Shoshone Cir Elko NV 89801-5072 |
| Mailing Address |
Po Box 31001-0707 Pasadena CA 91110-0707 |
| Practice Telephone | 7757382252 |
| Practice Fax Number | 7757385859 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2013-02-20 |
| Authorized Official Name | JAMES CUMMINGS (PHARMACY PROGRAM SPECIALIST) |
| Authorized Official Telephone | 4059516086 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 4704020 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2905353 | 01 |
| Other Name | Type Code |
|---|---|
| SOUTHERN BANDS HEALTH CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124398961 | Dhhs Ihs Phoenix Area | Clinic/Center | 223 Cibecue Circle Road, San Carlos, AZ 85550-0208 | 2012-01-11 |
| 1538446166 | Dhhs Ihs Phoenix Area | General Acute Care Hospital | 103 Medicine Way Rd, Peridot, AZ 85542-0787 | 2011-11-10 |
| 1689951220 | Dhhs Ihs Phoenix Area | Clinic/Center | Highway 70, Mp 295.6, Bylas, AZ 85530 | 2011-11-10 |
| 1396022026 | Dhhs Ihs Phoenix Area | Clinic/Center | 1900 Palo Verde, Havasu Lake, CA 92363 | 2011-11-09 |
| 1548546609 | Dhhs Ihs Phoenix Area | Clinic/Center | 37 Mountain View Dr, Battle Mountain, NV 89820-1862 | 2011-11-02 |
| 1184874034 | Dhhs Ihs Phoenix Area | Clinic/Center | North Cromwell Road, Cibecue, AZ 85911 | 2008-09-29 |
| 1467587030 | Dhhs Ihs Phoenix Area | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2 West 3rd St, Cibecue, AZ 85911 | 2007-02-22 |
| 1023143609 | Dhhs Ihs Phoenix Area | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 238 Cibecue Circle, San Carlos, AZ 85550 | 2007-02-22 |
| 1376678946 | Dhhs Ihs Phoenix Area | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Hwy 264 Mile Marker 388, Polacca, AZ 86042 | 2007-02-22 |
| 1679195069 | Dhhs Ihs Phoenix Area | Durable Medical Equipment & Medical Supplies | 200 W Hospital Dr, Whiteriver, AZ 85941-0860 | 2020-05-08 |
| Street Address |
515 SHOSHONE CIR |
| City | ELKO |
| State | NV |
| Zip Code | 89801-5072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001544 | Ann Rene Hiller | Pharmacist | 515 Shoshone Cir, Southern Bands Health Center, Elko, NV 89801-5072 | 2005-05-27 |
| 1407496292 | Ashley Noel Egan | Registered Nurse | 515 Shoshone Cir, Elko, NV 89801-5072 | 2020-01-09 |
| 1508353368 | Huy Chan Truong | Pharmacist | 515 Shoshone Cir, Elko, NV 89801-5072 | 2018-04-17 |
| 1982112645 | Joshua Steven Hunt | Pharmacist | 515 Shoshone Cir, Elko, NV 89801-5072 | 2018-01-16 |
| 1962850982 | Leticia Faust | Registered Nurse | 515 Shoshone Cir, Elko, NV 89801-5072 | 2016-05-31 |
| 1881064095 | Kathleen Marie Taylor | Technician, Other | 515 Shoshone Cir, Elko, NV 89801-5072 | 2015-09-30 |
| 1871938787 | Cheryl Atine | Clinic/Center | 515 Shoshone Cir, Elko, NV 89801-5072 | 2013-05-06 |
| 1780961102 | Dhhs Ihs Phoenix Area | Clinic/Center | 515 Shoshone Cir, Elko, NV 89801-5072 | 2011-11-14 |
| 1730466608 | Dhhs Ihs Phoenix Area | Psychologist | 515 Shoshone Cir, Elko, NV 89801-5072 | 2011-11-07 |
| 1902198542 | Patricia R Taylor | Registered Nurse | 515 Shoshone Cir, Elko, NV 89801-5072 | 2011-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043780638 | Ashleigh Unique Hopson | Behavior Technician | 764 S 5th St #23, Elko, NV 89801 | 2018-11-27 |
| 1457829822 | Asuzena Cruz Lopez | Behavior Technician | 250 Lamoille Hw, Suite 103, Elko, NV 89801 | 2018-11-05 |
| 1326542770 | Iona Michelle Weeks | Nurse Practitioner | 1993 Errecart Blvd., Elko, NV 89801 | 2018-03-21 |
| 1720588395 | Arturo Ruiz Jr. | Behavior Technician | 251 West River #26, Elko, NV 89801 | 2018-02-20 |
| 1942748231 | Mhm Solution Inc | Early Intervention Provider Agency | 2350 North 5th Street, Elko, NV 89801 | 2017-02-07 |
| 1861842064 | Daniel Honneyman | Emergency Medicine | Northeastern Regional Hospital, 2001 Errecart Blvd, Elko, NV 89801 | 2016-06-17 |
| 1265898068 | Full Range Physical Therapy, LLC | Clinic/Center | 620 S. 12th St. Ste. 110, Elko, NV 89801 | 2016-01-08 |
| 1932577889 | Brandie Lee Oros | Nurse Practitioner | 160 12th Street, Elko, NV 89801 | 2015-09-09 |
| 1770900441 | Sarah Jean Martinez | Physical Therapist | 620 S. 12th St., Ste. 110, Elko, NV 89801 | 2014-03-19 |
| 1841627916 | Ron Zedek Md PC | Counselor | 1250 Lamoille Ave Ste 103, Elko, NV 89801 | 2013-10-03 |
| Find all providers in zip 89801 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154952380 | Te-moak Tribe of Western Shoshone | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 525 Sunset St, Elko, NV 89801-2539 | 2020-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053858480 | Acrx Specialty Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 3200 Soaring Gulls Dr Ste 101, Las Vegas, NV 89129-2198 | 2017-01-24 |
| 1356556682 | Walker River Tribal Health Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2 Hospital Rd, Schurz, NV 89427 | 2007-05-11 |
| 1760967665 | Pyramid Lake Indian Health Service Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 705 Highway 446, Nixon, NV 89424 | 2018-09-27 |
| 1518416577 | Public Health Service Ihs Mcdermitt Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 112 North Reservation Road, Mcdermitt, NV 89421 | 2016-09-30 |
| 1770790792 | Pyramid Lake Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 705 Hwy 446, Nixon, NV 89424 | 2007-05-17 |
| 1538298773 | Yerington Tribal Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 171 Campbell Ln, Yerington, NV 89447-9731 | 2007-03-05 |
| 1932237229 | Pyramid Lake Paiute Tribe | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 705 Hwy. 446, Nixon, NV 89424 | 2007-03-01 |
| 1336274646 | Reno-sparks Tribal Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1715 Kuenzli St, Reno, NV 89502-1117 | 2007-02-23 |
| 1114052198 | Fallon Tribal Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1001 Rio Vista St, Fallon, NV 89406-5463 | 2007-02-22 |
| 1023057478 | Fallon Paiute-shoshone Tribe | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1001 Rio Vista Dr, Fallon, NV 89406-5463 | 2006-06-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.