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General NPI Number Information
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NPI Number | 1790851616
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Entity Type | Organization
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Legal Business Name | BATTLE MOUNTAIN GENERAL HOSPITAL
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 10/11/2018
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Provider Practice Location Address
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Address Line | 535 S HUMBOLDT ST STE A
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City | BATTLE MOUNTAIN
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State | NV
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Zip | 89820-1988
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Country | US
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Telephone | 775-635-2550
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Fax | 775-635-8844
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Provider Business Mailing Address
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Address Line | 535 S HUMBOLDT ST
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City | BATTLE MOUNTAIN
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State | NV
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Zip | 89820-1988
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Country | US
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Telephone | 775-635-2550
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Fax | 775-635-8844
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Authorized Official
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Title or Position | CEO
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Name | JASON BLEAK
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Credential |
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Telephone | 775-635-2550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 631HOS-14
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 4213EXL-0
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 4872RHC-5
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License Number State | NV
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