BANNER CHURCHILL COMMUNITY HOSPITAL
NPI 1023113115
General Acute Care Hospital in Fallon, NV
About Banner Churchill Community Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BANNER CHURCHILL COMMUNITY HOSPITAL (NPI 1023113115) is a healthcare organization registered as a general acute care hospital in Fallon, Nevada and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates and lists Dennis Laraway, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Banner Churchill Community Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
27Medicare enrollment records show 27 clinicians reassign Medicare billing to Banner Churchill Community Hospital, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 27Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 29D2154142
Banner Churchill Community Hospital - Ems · Fallon, NVCertificate of Accreditation 29D0539273
Banner Churchill Community Hospital Laboratory · Fallon, NVFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Banner Churchill Community Hospital's NPI number?
The NPI number for Banner Churchill Community Hospital is 1023113115. It was assigned to this organization in the NPPES registry on September 13, 2006.
Where is Banner Churchill Community Hospital located?
Banner Churchill Community Hospital is located at 801 E Williams Ave, Fallon, NV 89406. The listed phone number is (775) 423-3151.
What is Banner Churchill Community Hospital's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.
Is Banner Churchill Community Hospital enrolled in Medicare?
Yes. Banner Churchill Community Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Banner Churchill Community Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 6 Medicare specialties reassign their Medicare billing to Banner Churchill Community Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (6), Orthopedic Surgery (6) and Nurse Practitioner (5). Of these, 7 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Banner Churchill Community Hospital hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Banner Churchill Community Hospital was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Banner Churchill Community Hospital · NPI 1023113115
General Acute Care Hospital organization in Fallon, Nevada. Organization record, active in the CMS NPPES registry since September 13, 2006.
## Identity
- **NPI:** 1023113115 (Entity type: Organization)
- **Enumerated:** September 13, 2006
- **Primary specialty:** General Acute Care Hospital · taxonomy 282N00000X
- **Organization subpart:** Yes (part of Banner Health)
- **Authorized official:** Dennis Laraway, CFO
## Practice location
- **Address:** 801 E WILLIAMS AVE, Fallon, NV 89406-3052
- **Phone:** (775) 423-3151 · **Fax:** (775) 423-3365
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 27 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (6), Orthopedic Surgery (6), Nurse Practitioner (5); 7 practice at this address and 11 within 10 miles; [full list](https://npiprofile.com/npi/1023113115/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 3, 2026
- **Other identifiers:** Medicaid 1001845 (NV); Medicaid 1201845 (NV); Medicaid 1101845 (NV); and 1 more
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1023113115) · Data from the CMS NPPES public registry.