Healthcare Provider Details

I. General information

NPI: 1619091246
Provider Name (Legal Business Name): HUMBOLDT GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 03/07/2023
Certification Date: 03/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 E HASKELL ST
WINNEMUCCA NV
89445-3247
US

IV. Provider business mailing address

118 E HASKELL ST
WINNEMUCCA NV
89445-3247
US

V. Phone/Fax

Practice location:
  • Phone: 775-623-5222
  • Fax: 775-623-5904
Mailing address:
  • Phone: 775-623-5222
  • Fax: 775-623-5904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. ROBYN DUNCKHORST
Title or Position: ADMINISTSRATOR
Credential: RN
Phone: 775-623-5222