| Allegiant Care Nevada, Inc | |
|
429 Court St Ste 3 Elko NV 89801-3505 | |
| (775) 375-5061 | |
| Not Available |
| Full Name | Allegiant Care Nevada, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 429 Court St Ste 3, Elko, Nevada |
| Authorized Official Name and Position | Jeffrey L Price (PRESIDENT / OWNER) |
| Authorized Official Contact | 7753755061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allegiant Care Nevada, Inc 429 Court St Ste 3 Elko NV 89801-3505 Ph: (775) 375-5061 | Allegiant Care Nevada, Inc 429 Court St Ste 3 Elko NV 89801-3505 Ph: (775) 375-5061 |
| NPI Number | 1598544108 |
|---|---|
| Provider Enumeration Date | 09/22/2023 |
| Last Update Date | 09/22/2023 |
| Certification Date | 09/22/2023 |
| Medicare PECOS PAC ID | 0547616435 |
|---|---|
| Medicare Enrollment ID | O20231030000894 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598544108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jeffrey L Price |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194110890 PECOS PAC ID: 4789030693 Enrollment ID: I20231120003164 |
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