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NPI Code Detail

MEDICARE: NEVADA HEALTH CENTERS INC

MEDICARE: NEVADA HEALTH CENTERS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2DQ468BOTHERNVMEDICARE ID - TYPE UNSPECIFIED

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265519813
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEVADA HEALTH CENTERS INC
Provider Business Mailing Address
First Line : 3325 RESEARCH WAY
Second Line :
City : CARSON CITY
State : NV
Zip : 89706-7913
Country : US
Telephone Number : 775-888-6610
Fax Number : 775-888-4904
Provider Business Practice Location Address
First Line : 3325 RESEARCH WAY
Second Line :
City : CARSON CITY
State : NV
Zip : 89706-7913
Country : US
Telephone Number : 775-887-5140
Fax Number : 775-884-3618
Authorized Official
Title or Position : CEO
Name : WALTER B DAVIS
Credential :
Telephone Number : 775-888-6610
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/21/2022

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