| Crescent Valley Medical Clinic | |
|
5043 Tenabo Avenue Crescent Valley NV 89821-1155 | |
| (775) 468-1010 | |
| (775) 468-1019 |
| Full Name | Crescent Valley Medical Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5043 Tenabo Avenue, Crescent Valley, Nevada |
| Authorized Official Name and Position | Walter B Davis (CEO) |
| Authorized Official Contact | 7758886610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Valley Medical Clinic 3325 Research Way Carson City NV 89706-7913 Ph: (775) 888-6610 | Crescent Valley Medical Clinic 5043 Tenabo Avenue Crescent Valley NV 89821-1155 Ph: (775) 468-1010 |
| NPI Number | 1023196292 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023196292 | NPI | - | NPPES |
| DQ468D | Other | NV | MEDICARE ID - TYPE UNSPECIFIED |
| 1023196292 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Nevada) | Primary |
William Bee Ririe Hospital Crescent Valley Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5043 Tenabo Avenue, William Bee Ririe Hospital Crescent Valley Clinic, Crescent Valley, NV 89821 Phone: 775-468-0250 Fax: 775-468-0255 |