| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 885 Railroad St, Elko, Nevada |
| Authorized Official Name and Position | Sharon M Webb (CLINIC MANAGER) |
| Authorized Official Contact | 7757789633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
885 Railroad St Elko NV 89801-3831 Ph: (775) 778-9633 | 885 Railroad St Elko NV 89801-3831 Ph: (775) 778-9633 |
| NPI Number | 1740318203 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740318203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | NV7943 (Nevada) | Primary |
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