Healthcare Provider Details

I. General information

NPI: 1134949605
Provider Name (Legal Business Name): AFFINITY HEALTH ELKO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2024
Last Update Date: 10/10/2024
Certification Date: 10/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2102 IDAHO ST
ELKO NV
89801-2625
US

IV. Provider business mailing address

2102 IDAHO ST
ELKO NV
89801-2625
US

V. Phone/Fax

Practice location:
  • Phone: 775-389-5778
  • Fax: 775-460-2368
Mailing address:
  • Phone: 775-389-5778
  • Fax: 775-460-2368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. ANGELA RENEE BROWNING
Title or Position: BUSINESS OFFICE MANAGER
Credential: CCS
Phone: 775-340-9600