Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NORTHERN INYO HEALTHCARE DISTRICT
NPI 1104431980
Clinic/Center - Student Health in Bishop, CA

Active since September 09, 2020
301 N FOWLER ST, BISHOP, CA 93514(760) 873-6373(760) 873-3266 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2026, Aug 1, 2024, Sep 9, 2020 (3 updates tracked since 2020).

About Northern Inyo Healthcare District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHERN INYO HEALTHCARE DISTRICT (NPI 1104431980), doing business as Bronco Clinic, is a healthcare organization registered as a student health in Bishop, California and active in the NPI registry since September 2020. The organization lists Christian Wallis, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1104431980
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameNORTHERN INYO HEALTHCARE DISTRICT
Location Address301 N FOWLER STBishop, CA 93514-2609
Mailing Address150 Pioneer LnBishop, CA 93514-2556 · (760) 873-5811
Fax(760) 873-3266
Organization SubpartYes
Authorized OfficialChristian WallisChief Executive Officer · (760) 873-2838
Enumeration DateSeptember 9, 2020
Last NPPES UpdateJune 8, 20263 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
NPI 1104431980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
301 N FOWLER ST, Bishop, CA 93514

Other Names 1

Doing Business AsBronco Clinic

Other Providers at the Same Location NPPES 2

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

Local Education Agency (LEA)
301 N FOWLER ST
BISHOP, CA 93514
Local Education Agency (LEA)
301 N FOWLER ST
BISHOP, CA 93514

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 Northern Inyo Healthcare District's NPI number?

The NPI number for Northern Inyo Healthcare District is 1104431980. It was assigned to this organization in the NPPES registry on September 9, 2020. The provider is doing business as Bronco Clinic.

Where is Northern Inyo Healthcare District located?

Northern Inyo Healthcare District is located at 301 N Fowler St, Bishop, CA 93514. The listed phone number is (760) 873-6373.

What is Northern Inyo Healthcare District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

When was this NPI record last updated?

The NPPES record for Northern Inyo Healthcare District was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.