Organization Name:  FALLON TRIBAL HEALTH CENTER


Practice Location:
1001 RIO VISTA DR  FALLON, NV 89406 US
Tel: 775-423-3634  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	251S00000X	Agencies Community/Behavioral Health
N	332800000X	Suppliers Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
N	343900000X	Transportation Services Non-emergency Medical Transport (VAN)
Y	261Q00000X	Ambulatory Health Care Facilities Clinic/Center

Other Provider Identifiers:

Issuer	Number	State	Type
	00470100100	NV	05
	701001	NV	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin