|
| |
|
880 Alder Ave Incline Village NV 89451-8335 | |
| (775) 883-4100 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 880 Alder Ave, Incline Village, Nevada |
| Authorized Official Name and Position | Crystal Betts (CFO) |
| Authorized Official Contact | 5305826656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
10121 Pine Ave Truckee CA 96161-4835 Ph: () - | 880 Alder Ave Incline Village NV 89451-8335 Ph: (775) 883-4100 |
| NPI Number | 1790281186 |
|---|---|
| Provider Enumeration Date | 04/04/2018 |
| Last Update Date | 04/04/2018 |
| Medicare PECOS PAC ID | 0446161335 |
|---|---|
| Medicare Enrollment ID | O20191125001912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790281186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Incline Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 880 Alder Ave, Second Floor, Incline Village, NV 89451 Phone: 775-831-5308 | |
Incline Village Urgent Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 995 Tahoe Blvd Ste 301, Incline Village, NV 89451 Phone: 775-833-2929 Fax: 775-833-0277 | |