Amargosa Valley Medical Clinic | |
1690 E Amargosa Farm Rd Amargosa Valley NV 89020-9735 | |
(775) 372-5432 | |
(775) 372-1303 |
Full Name | Amargosa Valley Medical Clinic |
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Speciality | Clinic/Center |
Location | 1690 E Amargosa Farm Rd, Amargosa Valley, Nevada |
Authorized Official Name and Position | Walter B Davis (CEO) |
Authorized Official Contact | 7758886610 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Amargosa Valley Medical Clinic 3325 Research Way Attn: Pat Carson City NV 89706-7913 Ph: (775) 888-6610 | Amargosa Valley Medical Clinic 1690 E Amargosa Farm Rd Amargosa Valley NV 89020-9735 Ph: (775) 372-5432 |
NPI Number | 1831278720 |
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Provider Enumeration Date | 11/03/2006 |
Last Update Date | 02/05/2020 |
Medicare PECOS PAC ID | 7113835307 |
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Medicare Enrollment ID | O20080529000446 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831278720 | NPI | - | NPPES |
DQ468D | Other | NV | MEDICARE ID-TYPE UNSPECIFIED |
1831278720 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 291803 (Nevada) | Primary |