Healthcare Provider Details

I. General information

NPI: 1063622926
Provider Name (Legal Business Name): WALKER RIVER PAIUTE TRIBE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 HOSPITAL ROAD
SCHURZ NV
89427-0502
US

IV. Provider business mailing address

PO BOX C
SCHURZ NV
89427-0502
US

V. Phone/Fax

Practice location:
  • Phone: 775-773-2005
  • Fax: 775-773-2012
Mailing address:
  • Phone: 775-773-2005
  • Fax: 775-773-2012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP0904X
TaxonomyFederal Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDREW B MCAULIFFE
Title or Position: HEALTH DIRECTOR
Credential:
Phone: 775-773-2005