| Na | |
|
215 E Railroad St Apt 1 Winnemucca NV 89445-3087 | |
| (408) 550-4200 | |
| Not Available |
| Full Name | Na |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 215 E Railroad St Apt 1, Winnemucca, Nevada |
| Authorized Official Name and Position | Na Na (NA) |
| Authorized Official Contact | 4085504200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Na 215 E Railroad St Apt 1 Winnemucca NV 89445-3087 Ph: (408) 550-4200 | Na 215 E Railroad St Apt 1 Winnemucca NV 89445-3087 Ph: (408) 550-4200 |
| NPI Number | 1952763070 |
|---|---|
| Provider Enumeration Date | 03/28/2016 |
| Last Update Date | 03/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952763070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 19116 (Nevada) | Primary |
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