| Cic Pahrump | |
|
1161 S Loop Rd Pahrump NV 89048-4764 | |
| (775) 751-6990 | |
| (775) 751-6992 |
| Full Name | Cic Pahrump |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1161 S Loop Rd, Pahrump, Nevada |
| Authorized Official Name and Position | Erin Kinard (AREA DIRECTOR) |
| Authorized Official Contact | 7023852090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cic Pahrump 1711 Whitney Mesa Dr Henderson NV 89014-2080 Ph: (702) 385-2090 | Cic Pahrump 1161 S Loop Rd Pahrump NV 89048-4764 Ph: (775) 751-6990 |
| NPI Number | 1275941023 |
|---|---|
| Provider Enumeration Date | 07/24/2014 |
| Last Update Date | 07/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275941023 | NPI | - | NPPES |
| 1700223088 | Other | NV | PT 17 NPI PAH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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