Carbon Health Alpha Primary Care Of Florida Pa | |
5067 S Mccarran Blvd Reno NV 89502-6530 | |
(775) 298-5379 | |
Not Available |
Full Name | Carbon Health Alpha Primary Care Of Florida Pa |
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Speciality | Clinic/Center |
Location | 5067 S Mccarran Blvd, Reno, Nevada |
Authorized Official Name and Position | Kaitlin Boyle (CREDENTIALING MANAGER) |
Authorized Official Contact | 3036015392 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Carbon Health Alpha Primary Care Of Florida Pa 300 California St Fl 7 San Francisco CA 94104-1415 Ph: (844) 234-7741 | Carbon Health Alpha Primary Care Of Florida Pa 5067 S Mccarran Blvd Reno NV 89502-6530 Ph: (775) 298-5379 |
NPI Number | 1548916042 |
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Provider Enumeration Date | 02/23/2022 |
Last Update Date | 07/16/2024 |
Medicare PECOS PAC ID | 4082080551 |
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Medicare Enrollment ID | O20221025001912 |
Identifier | Type | State | Issuer |
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1548916042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Karen M Stover |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427048818 PECOS PAC ID: 1254425846 Enrollment ID: I20070913000020 |
Provider Name | Stephanie L Rogers |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902337462 PECOS PAC ID: 4385918994 Enrollment ID: I20230410000462 |
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