Healthcare Provider Details

I. General information

NPI: 1730363516
Provider Name (Legal Business Name): NEVADA HEALTH CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2007
Last Update Date: 12/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 S. EIGHTH STREET
CARLIN NV
89822
US

IV. Provider business mailing address

1802 N CARSON ST STE 100
CARSON CITY NV
89701-1227
US

V. Phone/Fax

Practice location:
  • Phone: 775-754-2666
  • Fax: 775-754-2684
Mailing address:
  • Phone: 775-888-6610
  • Fax: 775-887-7046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License NumberPH1212
License Number StateNV

VIII. Authorized Official

Name: STEPHANIE INGREY
Title or Position: PHARMACIST
Credential: RPH
Phone: 775-888-6610