| Family Wellness Center | |
|
751 Basque Way Suite D Carson City NV 89706-7934 | |
| (775) 400-2996 | |
| Not Available |
| Full Name | Family Wellness Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 751 Basque Way, Carson City, Nevada |
| Authorized Official Name and Position | Kristopher L Komarek (OWNER) |
| Authorized Official Contact | 7754002996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Wellness Center 316 Golden Pick Dr Dayton NV 89403-7412 Ph: (775) 400-2996 | Family Wellness Center 751 Basque Way Suite D Carson City NV 89706-7934 Ph: (775) 400-2996 |
| NPI Number | 1003233545 |
|---|---|
| Provider Enumeration Date | 03/22/2014 |
| Last Update Date | 06/02/2014 |
| Medicare PECOS PAC ID | 9335365774 |
|---|---|
| Medicare Enrollment ID | O20140722000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003233545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NV20141195652 (Nevada) | Primary |
| Provider Name | Dawn Noelle Riggs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922100692 PECOS PAC ID: 1153547591 Enrollment ID: I20191105002560 |
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