Healthcare Provider Details

I. General information

NPI: 1316785041
Provider Name (Legal Business Name): COMMUNITY HEALTH ALLIED MEDICAL PROVIDERS - PAPPAS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2024
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2102 IDAHO STREET
ELKO NV
89801
US

IV. Provider business mailing address

2102 IDAHO ST
ELKO NV
89801-2625
US

V. Phone/Fax

Practice location:
  • Phone: 775-389-5778
  • Fax:
Mailing address:
  • Phone: 775-389-5777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN GULL
Title or Position: OWNER
Credential:
Phone: 775-340-9600