Fallon Paiute Shoshone Tribe

NPI #1649441502 in Fallon, Nevada

Provider Information

NPI Number: 1649441502
Entity Type: Organization
Organization Name: Fallon Paiute Shoshone Tribe
Subpart: Yes (part of a larger organization)
Parent Organization: FALLON PAIUTE SHOSHONE TRIBE
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Mar 19, 2008
Last Updated: Mar 19, 2008

Practice Location

Address: 2101 AGENCY RD
City: Fallon
State: Nevada
ZIP Code: 89406-7142
Phone: (775) 423-1132

Authorized Official

Name: MS. BONNIE RUSHFORD, MSW
Title: HUMAN SERVICES DIRECTOR
Phone: (775) 423-1215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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