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Active NPI 1548217409 Organization (Entity Type 2) Subpart Facility

Ely Shoshone Tribe

Clinic/Center • Ely, NV

Parent Organization: Ely Shoshone Tribe

About Ely Shoshone Tribe NPI 1548217409 Summary

Ely Shoshone Tribe is a verified healthcare organization specializing in Clinic/Center operating in Ely, NV. Located at 400 NEWE VIEW, this facility provides patient care and medical services under National Provider Identifier (NPI) 1548217409.

Ely Shoshone Tribe operates as a subpart facility of Ely Shoshone Tribe. Administrative operations and authorized compliance are overseen by Garret Garber (Clinic Supervisor/Pharmacy Manager).

The facility is associated with 2 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

400 Newe View

Ely, NV 89301

Telephone 7752894133
Fax 7752893237

Authorized Official Information

Authorized Contact Name

Garret Garber , PHARM D

Title / Role

Clinic Supervisor/pharmacy Manager

Official Telephone

7752892134

Facility Classifications & Specialties

Clinic/Center Primary Taxonomy

NUCC Taxonomy Code: 261Q00000X

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Clinic/Center

NUCC Taxonomy Code: 261Q00000X

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

2 Linked
Amy Barney , APRN NPI 1225430861

Nurse Practitioner - Family

Ely, NV

View Practitioner Profile →

Podiatrist

St George, UT

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

7 Historical Events
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Updated Business Mailing Address June 17, 2022

Registered at 400 B NEWE VW, ELY, NV 893013139 (Tel: 7752892134)

NPI Profile Active June 28, 2013

NPI status registered as active in NPPES database

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Updated Practice Location June 28, 2013

Registered at 400 NEWE VIEW, ELY, NV 89301 (Tel: 7752894133)

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Updated Business Mailing Address June 28, 2013

Registered at #16 SHOSHONE CIRCLE, ELY, NV 89301 (Tel: 7752893013)

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Organization / Clinic Name Updated June 28, 2013

Operating as ELY SHOSHONE TRIBE

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2013

Clinic/Center (License #7738 in NV)

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Initial NPI Registration & Enumeration May 27, 2006

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1548217409
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: May 27, 2006
Last Update: June 17, 2022

Mailing Address

400 B Newe Vw

Ely, NV 893013139

Phone: 7752892134

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.