Owyhee Community Health Facility | |
1623 Hospital Loop Owyhee NV 89832-1200 | |
(775) 757-2415 | |
(757) 572-0667 |
Full Name | Owyhee Community Health Facility |
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Speciality | Clinic/Center |
Location | 1623 Hospital Loop, Owyhee, Nevada |
Authorized Official Name and Position | Shawna Hicks (TRIBAL HEALTH ADMINISTRATOR) |
Authorized Official Contact | 7757572415 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Owyhee Community Health Facility Po Box 130 Owyhee NV 89832-0130 Ph: (775) 757-2415 | Owyhee Community Health Facility 1623 Hospital Loop Owyhee NV 89832-1200 Ph: (775) 757-2415 |
NPI Number | 1528230224 |
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Provider Enumeration Date | 04/02/2008 |
Last Update Date | 07/29/2024 |
Medicare PECOS PAC ID | 5092871889 |
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Medicare Enrollment ID | O20100812000813 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528230224 | NPI | - | NPPES |
804128900 | Medicaid | ID | |
005204909 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | N/A (Nevada) | Secondary |
261Q00000X | Clinic/center | (Nevada) | Primary |
Provider Name | Marc E Adams |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265449482 PECOS PAC ID: 0547201550 Enrollment ID: I20050519001083 |
Provider Name | Julia G Nasser |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306917851 PECOS PAC ID: 0446384473 Enrollment ID: I20100812000974 |
Provider Name | Steven M Polatis |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1316294234 PECOS PAC ID: 7315182953 Enrollment ID: I20130402000080 |
Provider Name | John Gambino |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1093773533 PECOS PAC ID: 2062484314 Enrollment ID: I20130912000327 |
Provider Name | Travis Townsend |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1568787554 PECOS PAC ID: 0547487092 Enrollment ID: I20140807001039 |
Provider Name | Olaf R Lukowski |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1801853841 PECOS PAC ID: 2062639156 Enrollment ID: I20140813002500 |
Provider Name | Deborah J Moreau |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164754008 PECOS PAC ID: 4981733482 Enrollment ID: I20141205001672 |
Provider Name | Ian L Greybull |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801105531 PECOS PAC ID: 7214126986 Enrollment ID: I20150827002734 |
Provider Name | Fayyaz Qadir |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083881635 PECOS PAC ID: 7719013259 Enrollment ID: I20151207000420 |
Provider Name | Stacy L Miller |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1740510528 PECOS PAC ID: 6204073737 Enrollment ID: I20170412001763 |
Provider Name | Julie Cope |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538616974 PECOS PAC ID: 1850668260 Enrollment ID: I20170606000693 |
Provider Name | Christopher J Malcom |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1447402425 PECOS PAC ID: 4183871056 Enrollment ID: I20170629000167 |
Provider Name | Ryan J Hulbert |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1053689356 PECOS PAC ID: 0042470031 Enrollment ID: I20180801000730 |
Provider Name | Amber Loya |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518488931 PECOS PAC ID: 6103190459 Enrollment ID: I20181203001646 |
Provider Name | Kyle M Greer |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1639468465 PECOS PAC ID: 9830318419 Enrollment ID: I20190806000610 |
Provider Name | Kevin J Lundell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992204556 PECOS PAC ID: 9234480468 Enrollment ID: I20191218002090 |
Provider Name | Asma Shareef |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1609098177 PECOS PAC ID: 6800208554 Enrollment ID: I20201222000916 |
Provider Name | Bonnie Stone |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1730418823 PECOS PAC ID: 0840228151 Enrollment ID: I20210701001520 |
Provider Name | Nicole Christenson |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1730265752 PECOS PAC ID: 8628149291 Enrollment ID: I20210702000765 |
Provider Name | Pamela Migliaccio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689059610 PECOS PAC ID: 7719289719 Enrollment ID: I20210709000024 |
Provider Name | Kelly Rhodes |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1861538035 PECOS PAC ID: 7517047509 Enrollment ID: I20220321000094 |
Provider Name | Rita Lopez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447433107 PECOS PAC ID: 0345570057 Enrollment ID: I20220818002468 |
Provider Name | Kevin Fluckiger |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1083117584 PECOS PAC ID: 7315367927 Enrollment ID: I20230215000681 |
Provider Name | Adrian Rolle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780225227 PECOS PAC ID: 4880012525 Enrollment ID: I20230222001942 |
Provider Name | Hannah N Logue |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497363097 PECOS PAC ID: 5799140224 Enrollment ID: I20230504002944 |
Provider Name | Lorraine Kay Marshall |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154668556 PECOS PAC ID: 1254797244 Enrollment ID: I20230517001762 |
Provider Name | Courtney Nalivka |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1689004798 PECOS PAC ID: 3779933908 Enrollment ID: I20231229000890 |
Provider Name | Lucas Paul Donaldson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487230983 PECOS PAC ID: 1658717756 Enrollment ID: I20240312001300 |
Provider Name | Lori Lynn Farrens |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1598954786 PECOS PAC ID: 0941641955 Enrollment ID: I20240508002066 |
Provider Name | Navjot A Redpath |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1306113279 PECOS PAC ID: 1153771373 Enrollment ID: I20240614001458 |
Owyhee Community Health Facility Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Highway 225, Owyhee, NV 89832 Phone: 775-757-2415 |