Austin Medical Clinic | |
121 Main Street Austin NV 89310-0225 | |
(775) 964-2222 | |
(775) 964-2232 |
Full Name | Austin Medical Clinic |
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Speciality | Clinic/Center |
Location | 121 Main Street, Austin, 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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Austin Medical Clinic 3325 Research Way Attn: Pat Carson City NV 89706-7913 Ph: (775) 888-6610 | Austin Medical Clinic 121 Main Street Austin NV 89310-0225 Ph: (775) 964-2222 |
NPI Number | 1982781134 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 7113835307 |
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Medicare Enrollment ID | O20100730000517 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982781134 | NPI | - | NPPES |
DQ468D | Other | NV | MEDICARE ID - TYPE UNSPECIFIED |
1982781134 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Nevada) | Primary |