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1329 Waterloo Lane Gadrnerville NV 86410 | |
(775) 782-9038 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1329 Waterloo Lane, Gadrnerville, Nevada |
Authorized Official Name and Position | Brook Adie (ASSISTANT DIRECTOR) |
Authorized Official Contact | 7757826246 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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P.o. Box 218 Minden NV 89423 Ph: (775) 782-9821 | 1329 Waterloo Lane Gadrnerville NV 86410 Ph: (775) 782-9038 |
NPI Number | 1124577648 |
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Provider Enumeration Date | 09/26/2016 |
Last Update Date | 10/25/2022 |
Medicare PECOS PAC ID | 1850551011 |
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Medicare Enrollment ID | O20171024002853 |
Identifier | Type | State | Issuer |
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1124577648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Provider Name | Tamara L Baumann |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1326096017 PECOS PAC ID: 9234383233 Enrollment ID: I20160201000810 |