Duckwater Health Clinic | |
502 Duckwater Falls Rd Duckwater NV 89314-0087 | |
(775) 863-0222 | |
(775) 863-0142 |
Full Name | Duckwater Health Clinic |
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Speciality | Family Medicine |
Location | 502 Duckwater Falls Rd, Duckwater, Nevada |
Authorized Official Name and Position | Jerry Millett (TRIBAL MANAGER CHAIRMAN) |
Authorized Official Contact | 7758630227 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Duckwater Health Clinic Po Box 140087 Duckwater NV 89314-0087 Ph: (775) 863-0222 | Duckwater Health Clinic 502 Duckwater Falls Rd Duckwater NV 89314-0087 Ph: (775) 863-0222 |
NPI Number | 1144222761 |
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Provider Enumeration Date | 08/12/2005 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 2264424845 |
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Medicare Enrollment ID | O20040401001710 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144222761 | NPI | - | NPPES |
004712001 | Medicaid | NV | |
003112002 | Other | NV | HEALTHY KIDS SCREENING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Nevada) | Primary |