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DUCKWATER HEALTH CLINIC
NPI 1144222761
Family Medicine in Duckwater, NV

Active since August 12, 2005CLIA 29D2158358 · Waiver
502 DUCKWATER FALLS RD, DUCKWATER, NV 89314(775) 863-0222(775) 863-0142 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Duckwater Health Clinic NPPES

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

DUCKWATER HEALTH CLINIC (NPI 1144222761) is a healthcare organization registered as a family medicine in Duckwater, Nevada and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through November 26, 2026 and lists Jerry Millett, Tribal Manager Chairman, as its authorized official.

NPPES Registry Identity

NPI1144222761
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDUCKWATER SHOSHONE TRIBE
Location Address502 DUCKWATER FALLS RDDuckwater, NV 89314-0087
Mailing AddressPo Box 140087Duckwater, NV 89314-0087 · (775) 863-0222 · Fax (775) 863-0142
Phone(775) 863-0222
Fax(775) 863-0142
Organization SubpartNo
Authorized OfficialJerry MillettTribal Manager Chairman · (775) 863-0227
Enumeration DateAugust 12, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1144222761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

502 DUCKWATER FALLS RD, Duckwater, NV 89314
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Other Names 1

Other NameDuckwater Health Clinic

Other Identifiers 2

Other003112002NV · Healthy Kids Screening
Medicaid004712001NV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 29D2158358

Duckwater Health Clinic · Duckwater, NV
Active · expires Nov 26, 2026
CLIA Number29D2158358
Laboratory TypeTribal Health Clinic
Certificate Effective DateNovember 27, 2024
Certificate Expiration DateNovember 26, 2026
Laboratory DirectorMark E. Wilbur
Laboratory Phone(775) 863-0222
Laboratory LocationDuckwater Health Clinic502 Duckwater Falls Road, Duckwater, NV 89314
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

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

DUCKWATER HEALTH CLINIC
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
502 DUCKWATER FALLS RD
DUCKWATER, NV 89314
Nye County (775) 863-0222

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 Duckwater Shoshone Tribe's NPI number?

The NPI number for Duckwater Shoshone Tribe is 1144222761. It was assigned to this organization in the NPPES registry on August 12, 2005. The provider is also known as Duckwater Health Clinic.

Where is Duckwater Shoshone Tribe located?

Duckwater Shoshone Tribe is located at 502 Duckwater Falls Rd, Duckwater, NV 89314. The listed phone number is (775) 863-0222.

What is Duckwater Shoshone Tribe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Duckwater Shoshone Tribe hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2158358) is associated with this NPI, valid through November 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Duckwater Shoshone Tribe accept?

Health plans from Baylor Scott and White Health Plan list Duckwater Shoshone Tribe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Duckwater Shoshone Tribe was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.