NPI 1134601230

Banner Churchill Community Hospital

Organisation Multi-Specialty Clinic/Center Fallon, NV

Practice location

Address: 1020 New River Pkwy STE 100, Fallon, NV 89406-7801
Phone: (775) 867-7686
Fax: (775) 867-7685
Mailing address: 2901 N Central Ave STE 160, Phoenix, AZ 85012-2702

Authorised official

Name: Dennis Laraway
Title: Cfo
Phone: (602) 747-4000

Registered specialties

Multi-Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM1300X

Other Clinic/Center providers in Nevada →

Registry record

NPI: 1134601230
Entity type: Organization
NPI issued: 5 Sep 2018
Record last updated: 27 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.