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BANNER CHURCHILL COMMUNITY HOSPITAL
NPI 1023113115
General Acute Care Hospital in Fallon, NV

Active since September 13, 2006CLIA Certified · 2 labs
801 E WILLIAMS AVE, FALLON, NV 89406(775) 423-3151(775) 423-3365 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2026, Dec 29, 2021 (2 updates tracked since 2021).

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

NPI1023113115
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameBANNER CHURCHILL COMMUNITY HOSPITAL
Location Address801 E WILLIAMS AVEFallon, NV 89406-3052
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702 · (602) 747-4000
Phone(775) 423-3151
Fax(775) 423-3365
Organization SubpartYesParent: Banner Health
Authorized OfficialDennis LarawayCfo · (602) 747-4000
Enumeration DateSeptember 13, 2006
Last NPPES UpdateApril 3, 20262 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
✔ NPI 1023113115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in NV · 638HOS-15
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
801 E WILLIAMS AVE, Fallon, NV 89406
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Other Identifiers 4

Medicaid1001845NV
Medicaid1201845NV
Medicaid1101845NV
Medicaid3201003NV

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 Accreditation 29D0539273

Banner Churchill Community Hospital Laboratory · Fallon, NV
Active · expires May 12, 2027
CLIA Number29D0539273
Laboratory TypeHospital
Certificate Effective DateMay 13, 2025
Certificate Expiration DateMay 12, 2027
Laboratory DirectorDr. Arash Mohtashamian
Laboratory Phone(775) 423-3151
Laboratory LocationBanner Churchill Community Hospital Laboratory801 E Williams Ave, Fallon, NV 89406
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 29D2154142

Banner Churchill Community Hospital - Ems · Fallon, NV
Active · expires Sep 5, 2026
CLIA Number29D2154142
Laboratory TypeAmbulance
Certificate Effective DateSeptember 6, 2024
Certificate Expiration DateSeptember 5, 2026
Laboratory DirectorBrent A. Akin
Laboratory Phone(775) 423-3151
Laboratory LocationBanner Churchill Community Hospital - Ems801 E Williams Ave, Fallon, NV 89406
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BANNER OCCUPATIONAL HEALTH & WELLNESS - FALLON
Clinic/Center (Occupational Medicine)
801 E WILLIAMS AVE
FALLON, NV 89406
Churchill County (775) 423-3151
MUSA KHALIQI MD INC
Hospitalist
801 E WILLIAMS AVE
FALLON, NV 89406
Churchill County (775) 423-3151
TREVOR PHAN MD PC
Hospitalist
801 E WILLIAMS AVE
FALLON, NV 89406
Churchill County (775) 530-5886
MELISSA CARYL COOMBS M.D.
Emergency Medicine
801 E WILLIAMS AVE
FALLON, NV 89406
Churchill County (775) 423-3151
JOHN L GRIFFITH M.D.
Radiology (Diagnostic Radiology)
801 E WILLIAMS AVE
FALLON, NV 89406
Churchill County (775) 867-7481
RYAN J KASKY DO
Family Medicine
801 E WILLIAMS AVE
FALLON, NV 89406
Churchill County (775) 867-7740
MR. FRANK KING LEE CRNA
Nurse Anesthetist, Certified Registered
801 E WILLIAMS AVE
FALLON, NV 89406
Churchill County (775) 867-7703
THOMAS VANCE MCCORMICK M.D.
Surgery
801 E WILLIAMS AVE
FALLON, NV 89406
Churchill County (775) 867-7740

Frequently 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.

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 4 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.