OrganizationActive
Banner Churchill Community Hospital
NPI 1639723802 · Multi-Specialty Clinic/Center · Fernley, NV
Provider details
- NPI number
- 1639723802
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Banner Health
- Authorized official
- Dennis Laraway, Cfo
Practice location
1260 Nevada Pacific Blvd
Fernley, NV 89408-9871
Phone: (775) 575-7171
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Registry dates
- Enumerated
- 2019-07-26
- 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.