OrganizationActive
Banner Churchill Community Hospital
NPI 1073167961 · Durable Medical Equipment & Medical Supplies · Fallon, NV
Provider details
- NPI number
- 1073167961
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Banner Health
- Authorized official
- Dennis Laraway, Cfo
Practice location
801 N. Williams Ave Suite 22017, 2208, 3301, 3309
Fallon, NV 89406
Phone: (775) 867-7701
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Registry dates
- Enumerated
- 2019-07-29
- Last updated
- 2021-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.