DHHS IHS PHOENIX AREA (NPI# 1730466608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730466608 |
| 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 91110-0001 |
| Practice Telephone | 7757382252 |
| Practice Fax Number | 7757481455 |
| Mailing Telephone | 7757382252 |
| Mailing Fax Number | 7757481455 |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2012-08-29 |
| Authorized Official Name | CATHY E WELCHERT (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7757382252 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 122300000X | Dentist | Dental Providers | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 183500000X | Pharmacist | Pharmacy Service Providers | ||
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| 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 |
| 1902198542 | Patricia R Taylor | Registered Nurse | 515 Shoshone Cir, Elko, NV 89801-5072 | 2011-05-13 |
| 1295027902 | Benjamin Le | Emergency Medical Technician, Basic | 515 Shoshone Cir, Elko, NV 89801-5072 | 2011-05-12 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366517807 | Terry J Nevins | Family Medicine | 855 Railroad Street, Elko, NV 89801 | 2006-11-21 |
| 1215941760 | Karen L Wright | Family Medicine | 845 Railroad St, Elko, NV 89801-3831 | 2006-07-28 |
| 1922090356 | Steve Lore | Family Medicine | 762 14th St, Elko, NV 89801-3413 | 2005-08-22 |
| 1710981279 | Brent Dale Black | Family Medicine | 1993 Errecart Blvd, Elko, NV 89801-8334 | 2005-06-11 |
| 1902329469 | Medallus & Vacharothone Ltd | Family Medicine | 1501 Lamoille Hwy, Elko, NV 89801-4321 | 2017-07-17 |
| 1215314620 | Jacqueline Huynh | Family Medicine | 762 14th St, Elko, NV 89801 | 2015-05-05 |
| 1457630568 | Simon Family Medicine, Pllc | Family Medicine | 1995 Errecart Blvd, Suite 208, Elko, NV 89801-8346 | 2011-08-06 |
| 1841470747 | Eden Medical Services, LLC | Family Medicine | 845 Railroad St, Elko, NV 89801-3831 | 2007-11-07 |
| 1467518530 | Morning Star Health Centers | Family Medicine | 1250 Lamoille Hwy, Suite 413, Elko, NV 89801-4396 | 2006-12-30 |
| 1659436038 | Kirin Leslie Madden | Family Medicine | 515 Shoshone Cir, Elko, NV 89801-5072 | 2006-12-26 |
| Find all providers in ELKO | ||||
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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.