MEDICARE: NEVADA HEALTH CENTERS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)		NV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DQ468C	OTHER	NV	MEDICARE ID - TYPE UNSPECIFIED

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033297304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEVADA HEALTH CENTERS INC

Provider Business Mailing Address
First Line	:	3325 RESEARCH WAY
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89706-7913
Country	:	US
Telephone Number	:	775-888-6610
Fax Number	:	775-888-4904

Provider Business Practice Location Address
First Line	:	925 WELLS AVENUE
Second Line	:	BOX 3520
City	:	WEST WENDOVER
State	:	NV
Zip	:	89883
Country	:	US
Telephone Number	:	775-664-2220
Fax Number	:	775-664-2965

Authorized Official
Title or Position	:	CEO
Name	:	WALTER B DAVIS
Credential	:
Telephone Number	:	775-888-6610

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	07/21/2022

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Directions to “NEVADA HEALTH CENTERS INC ” Practice Location

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