| Banner Churchill Community Hospital | |
|
1020 New River Pkwy Ste 100 Fallon NV 89406-7801 | |
| (775) 867-7686 | |
| (775) 867-7685 |
| Full Name | Banner Churchill Community Hospital |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1020 New River Pkwy Ste 100, Fallon, Nevada |
| Authorized Official Name and Position | Dennis Laraway (CFO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Churchill Community Hospital 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Churchill Community Hospital 1020 New River Pkwy Ste 100 Fallon NV 89406-7801 Ph: (775) 867-7686 |
| NPI Number | 1134601230 |
|---|---|
| Provider Enumeration Date | 09/05/2018 |
| Last Update Date | 12/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134601230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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Banner Health Center Fallon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 801 E Williams Ave, Fallon, NV 89406 Phone: 775-867-7701 Fax: 775-428-2166 | |
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