Healthcare Provider Details

I. General information

NPI: 1649454422
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: 11/18/2022
Certification Date: 11/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

762 14TH ST
ELKO NV
89801-3413
US

IV. Provider business mailing address

3325 RESEARCH WAY # 2
CARSON CITY NV
89706-7913
US

V. Phone/Fax

Practice location:
  • Phone: 775-445-3410
  • Fax: 775-778-0001
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 Number
License Number State

VIII. Authorized Official

Name: CARRIE BLACK
Title or Position: PROVIDER RELATIONS MANAGER
Credential:
Phone: 775-888-6610