Healthcare Provider Details

I. General information

NPI: 1114052198
Provider Name (Legal Business Name): FALLON TRIBAL HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 03/12/2026
Certification Date: 11/02/2021
Deactivation Date: 11/02/2021
Reactivation Date: 03/12/2026

III. Provider practice location address

1001 RIO VISTA ST
FALLON NV
89406-5463
US

IV. Provider business mailing address

1001 RIO VISTA ST
FALLON NV
89406-5463
US

V. Phone/Fax

Practice location:
  • Phone: 775-423-3634
  • Fax: 775-423-7319
Mailing address:
  • Phone: 775-423-3634
  • Fax: 775-423-7319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332800000X
TaxonomyIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SHERRI YODER
Title or Position: PHARMACY DIRECOT
Credential:
Phone: 775-423-3634