Healthcare Provider Details

I. General information

NPI: 1437145422
Provider Name (Legal Business Name): WILLIAM BEE RIRIE HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2005
Last Update Date: 04/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 STEPTOE CIRCLE
ELY NV
89301
US

IV. Provider business mailing address

6 STEPTOE CIRCLE WILLIAM BEE RIRIE HOSPITAL
ELY NV
89301
US

V. Phone/Fax

Practice location:
  • Phone: 775-289-3612
  • Fax: 775-289-6423
Mailing address:
  • Phone: 775-289-3001
  • Fax: 775-289-6423

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNV

VIII. Authorized Official

Name: MR. MATTHEW F. WALKER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 775-289-3001