OrganizationActive
Banner Churchill Community Hospital
NPI 1134601230 · Multi-Specialty Clinic/Center · Fallon, NV
Provider details
- NPI number
- 1134601230
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Banner Health
- Authorized official
- Dennis Laraway, Cfo
Practice location
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
Registry dates
- Enumerated
- 2018-09-05
- 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.