BANNER CHURCHILL COMMUNITY HOSPITAL (NPI# 1639723802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639723802 |
| Entity Type | Organization |
| Organization Name | BANNER CHURCHILL COMMUNITY HOSPITAL |
| Practice Address |
1260 Nevada Pacific Blvd Fernley NV 89408-9871 |
| Mailing Address |
2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 |
| Practice Telephone | 7755757171 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |
| Authorized Official Name | DENNIS LARAWAY (CFO) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073167961 | Banner Churchill Community Hospital | Durable Medical Equipment & Medical Supplies | 801 N. Williams Ave Suite 22017, 2208, 3301, 3309, Fallon, NV 89406 | 2019-07-29 |
| 1134601230 | Banner Churchill Community Hospital | Clinic/Center | 1020 New River Pkwy Ste 100, Fallon, NV 89406-7801 | 2018-09-05 |
| 1326568767 | Banner Churchill Community Hospital | Clinic/Center | 801 E Williams Ave, Fallon, NV 89406-3052 | 2017-06-27 |
| 1548780554 | Banner Churchill Community Hospital | Clinic/Center | 1260 Nevada Pacific Blvd, Fernley, NV 89408-9871 | 2017-06-21 |
| 1265811251 | Banner Churchill Community Hospital | General Acute Care Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 | 2015-05-22 |
| 1023113115 | Banner Churchill Community Hospital | General Acute Care Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 | 2006-09-13 |
| Street Address |
1260 NEVADA PACIFIC BLVD |
| City | FERNLEY |
| State | NV |
| Zip Code | 89408-9871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679559439 | Wade E Anderson | Family Medicine | 1260 Nevada Pacific Blvd, Fernley, NV 89408-9871 | 2005-12-22 |
| 1548780554 | Banner Churchill Community Hospital | Clinic/Center | 1260 Nevada Pacific Blvd, Fernley, NV 89408-9871 | 2017-06-21 |
| 1174911952 | Poonam Pamini Jani | Internal Medicine | 1260 Nevada Pacific Blvd, Fernley, NV 89408-9871 | 2015-01-02 |
| 1437596582 | Banner Health Physicians West LLC | Clinic/Center | 1260 Nevada Pacific Blvd, Fernley, NV 89408-9871 | 2013-05-30 |
| 1598016636 | Uyen Thuc Le | Family Medicine | 1260 Nevada Pacific Blvd, Fernley, NV 89408-9871 | 2012-09-28 |
| 1447267570 | Cesar P Udani | Family Medicine | 1260 Nevada Pacific Blvd, Fernley, NV 89408-9871 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359634 | Kim Patrick Baumgardner | Pharmacist | 1280 Hwy. 95a North, Fernley, NV 89408 | 2020-09-03 |
| 1891303723 | Amber Timberlake | Marriage & Family Therapist | 415 Highway 95a Suite G701, Fernley, NE 89408 | 2020-07-16 |
| 1609492958 | Ana Alicia Cervantes Tippit | Social Worker | 415 Hwy 95a South Suite D, Fernley, NV 89408 | 2020-06-23 |
| 1437797172 | Whitney Howerton | Peer Specialist | 415 Highway 95a, Suite H802, Fernley, NV 89408 | 2019-12-12 |
| 1689146813 | Golden Years Castle Property Holdings LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 575 Farm District Rd, Fernley, NV 89408 | 2018-12-28 |
| 1508355405 | Raleys | Pharmacy | 1400 State Route 95a N, Fernley, NV 89408 | 2018-05-07 |
| 1528598679 | The Dentists' Office Fernley LLC | Dentist | 300 Highway 95-a South, Ste. 110, Fernley, NV 89408 | 2017-06-12 |
| 1992246474 | Brieauna Nesmith | Counselor | 415 Hwy 95 A, Suite 702 G, Fernley, NV 89408 | 2017-03-16 |
| 1760939359 | Eloisa Martinez | Counselor | 415 Hwy 95 Suite 702g, Fernley, NV 89408 | 2016-09-01 |
| 1033665377 | Lorraine Forbes | Counselor | 415 Highway 95a Building I, Fernley, NV 89408 | 2016-08-28 |
| Find all providers in zip 89408 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437596582 | Banner Health Physicians West LLC | Clinic/Center | 1260 Nevada Pacific Blvd, Fernley, NV 89408-9871 | 2013-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871191726 | Beautiful Minds Mental Health and Primary Care Clinic | Clinic/Center | 3550 W Cheyenne Ave Ste 100-130, North Las Vegas, NV 89032-8212 | 2020-10-13 |
| 1508463266 | Premise Health of Nevada Medical Hinitt P C | Clinic/Center | 100 Carson Rd # 2, Battle Mountain, NV 89820-2311 | 2020-10-06 |
| 1184247496 | Quality Health Center, LLC | Clinic/Center | 501 S Rancho Dr Ste I61, Las Vegas, NV 89106-4838 | 2020-05-20 |
| 1669930475 | Central Utah Clinic, P.C. | Clinic/Center | 330 Falcon Ridge Pkwy Ste 400a, Mesquite, NV 89027-8881 | 2019-03-11 |
| 1073078945 | Board of Regents Nevada System of Higher Education | Clinic/Center | 1664 N Virginia St # Ms 0285, Reno, NV 89557-0001 | 2019-02-05 |
| 1760947006 | Techtonic Health Solutions | Clinic/Center | 1380 European Dr, Henderson, NV 89052-4020 | 2019-01-31 |
| 1407310279 | Soul Purpose Sober Living LLC | Clinic/Center | 3667 El Camino Rd, Las Vegas, NV 89103-1102 | 2019-01-25 |
| 1134601230 | Banner Churchill Community Hospital | Clinic/Center | 1020 New River Pkwy Ste 100, Fallon, NV 89406-7801 | 2018-09-05 |
| 1295227379 | Ram K Singh Md Ltd | Clinic/Center | 4510 S Eastern Ave Ste 3, Las Vegas, NV 89119-6118 | 2018-06-04 |
| 1790293900 | True Hearts Behavioral Services,llc | Clinic/Center | 5415 W Harmon Ave, Las Vegas, NV 89103-5098 | 2018-01-22 |
| Find all providers with the same taxonomy | ||||
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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.