| Fallon Tribal Health Center | |
|
1001 Rio Vista Dr Fallon NV 89406-5463 | |
| (775) 423-3634 | |
| (775) 423-3246 |
| Full Name | Fallon Tribal Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1001 Rio Vista Dr, Fallon, Nevada |
| Authorized Official Name and Position | Jon Pishion (HEALTH DIRECTOR) |
| Authorized Official Contact | 7754233634 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fallon Tribal Health Center 1001 Rio Vista Dr Fallon NV 89406-5463 Ph: (775) 423-3634 | Fallon Tribal Health Center 1001 Rio Vista Dr Fallon NV 89406-5463 Ph: (775) 423-3634 |
| NPI Number | 1023057478 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 11/02/2021 |
| Certification Date | 11/02/2021 |
| Medicare PECOS PAC ID | 0042399578 |
|---|---|
| Medicare Enrollment ID | O20080508000316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023057478 | NPI | - | NPPES |
| 701001 | Medicaid | NV | |
| 00470100100 | Medicaid | NV |
| Provider Name | Chad Nathaniel Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477646875 PECOS PAC ID: 1153341508 Enrollment ID: I20061204000658 |
| Provider Name | Marilyn D Miller-shultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487624474 PECOS PAC ID: 4284522038 Enrollment ID: I20070802000088 |
| Provider Name | Adrian S Emm |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346441425 PECOS PAC ID: 0042389199 Enrollment ID: I20080515000586 |
| Provider Name | Terry L Bolen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033157417 PECOS PAC ID: 1153490214 Enrollment ID: I20080515000664 |
| Provider Name | Kim A Adamson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316185085 PECOS PAC ID: 7810034485 Enrollment ID: I20091030000343 |
| Provider Name | David F Giles |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811945991 PECOS PAC ID: 7618902487 Enrollment ID: I20091130000374 |
| Provider Name | Luis M Taveras |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447298278 PECOS PAC ID: 3173420239 Enrollment ID: I20101108000151 |
| Provider Name | Quinton Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609856095 PECOS PAC ID: 5799767125 Enrollment ID: I20110131000646 |
| Provider Name | John R.c. Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578908935 PECOS PAC ID: 9830326461 Enrollment ID: I20131205001227 |
| Provider Name | Cheryl Lynn Sommer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255426375 PECOS PAC ID: 6507093432 Enrollment ID: I20131220000383 |
| Provider Name | Elizabeth Pepe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700874039 PECOS PAC ID: 8426288713 Enrollment ID: I20140306001384 |
| Provider Name | Lionel E Ruckstuhl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326460825 PECOS PAC ID: 5092946590 Enrollment ID: I20140326001751 |
| Provider Name | Eric Francis Herzog |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295795177 PECOS PAC ID: 0547453052 Enrollment ID: I20140808001509 |
| Provider Name | Shalanda R Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174963821 PECOS PAC ID: 9335468222 Enrollment ID: I20150427000999 |
| Provider Name | Portia S Hutchinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336148519 PECOS PAC ID: 9931152436 Enrollment ID: I20151012001640 |
| Provider Name | Laurence G Gay |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1639254170 PECOS PAC ID: 3577459056 Enrollment ID: I20160429000562 |
| Provider Name | Steven E Rubin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902975923 PECOS PAC ID: 6709846066 Enrollment ID: I20161207001799 |
| Provider Name | Wendy J Dexter |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386917011 PECOS PAC ID: 2466733183 Enrollment ID: I20170111000968 |
| Provider Name | Douglas R Doxey |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376896381 PECOS PAC ID: 0547589467 Enrollment ID: I20171020001282 |
| Provider Name | Sylvanus Anuforo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346630662 PECOS PAC ID: 6800172834 Enrollment ID: I20190423000173 |
| Provider Name | Paul Nerz |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1467549030 PECOS PAC ID: 9234235086 Enrollment ID: I20190426000711 |
| Provider Name | Kevin D Templar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518000538 PECOS PAC ID: 8527162825 Enrollment ID: I20191223000172 |
| Provider Name | Dong Young Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912414731 PECOS PAC ID: 5496017394 Enrollment ID: I20200103001866 |
| Provider Name | Christopher D Chai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356781512 PECOS PAC ID: 3476840810 Enrollment ID: I20200117000851 |
| Provider Name | Susan Stark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114418886 PECOS PAC ID: 0446686364 Enrollment ID: I20200212000572 |
| Provider Name | Cheryll G Udani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548604713 PECOS PAC ID: 3274819149 Enrollment ID: I20200407001370 |
| Provider Name | Steven J Dalton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164873352 PECOS PAC ID: 6800180894 Enrollment ID: I20201217000985 |
| Provider Name | Layne A Dameron |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639249782 PECOS PAC ID: 6305874496 Enrollment ID: I20210519001598 |
| Provider Name | Amy M Fleck |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598712515 PECOS PAC ID: 4385646694 Enrollment ID: I20220419000181 |
| Provider Name | Laurie G Bissett |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023717584 PECOS PAC ID: 3173975547 Enrollment ID: I20240122002181 |
| Provider Name | Alexis V Berney |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992300768 PECOS PAC ID: 3971956947 Enrollment ID: I20240125002514 |
Michelle Diedrichsen Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 295 E Park St, Fallon, NV 89406 Phone: 775-426-9319 | |
Be Empowered Health And Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1060 Roberta Ct, Fallon, NV 89406 Phone: 775-434-9979 | |
Emergency Youth Shelter Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Agency Rd, Fallon, NV 89406 Phone: 775-423-1132 Fax: 775-423-3503 | |
Sacred Soul Consulting & Therapeutic Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1066 Sarah Belle Ln, Fallon, NV 89406 Phone: 619-606-2671 | |
Sp Counseling Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 E Center St, Unit #12, Fallon, NV 89406 Phone: 775-867-5615 Fax: 775-867-5616 | |
New Frontier Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1490 Grimes St, Fallon, NV 89406 Phone: 775-423-1412 Fax: 775-423-4054 |