| Nevada Health Centers At Virginia City | |
|
175 E. Carson Street Suite A Virginia City NV 89440 | |
| (775) 445-3510 | |
| (775) 888-4990 |
| Full Name | Nevada Health Centers At Virginia City |
|---|---|
| Speciality | Clinic/Center |
| Location | 175 E. Carson Street, Virginia City, Nevada |
| Authorized Official Name and Position | Walter B Davis (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7758886610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nevada Health Centers At Virginia City 3325 Research Way Carson City NV 89706-7913 Ph: (775) 888-6610 | Nevada Health Centers At Virginia City 175 E. Carson Street Suite A Virginia City NV 89440 Ph: (775) 445-3510 |
| NPI Number | 1417321902 |
|---|---|
| Provider Enumeration Date | 11/20/2015 |
| Last Update Date | 03/04/2016 |
| Medicare PECOS PAC ID | 7113835307 |
|---|---|
| Medicare Enrollment ID | O20160428000497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417321902 | NPI | - | NPPES |
| 29D2103856 | Other | NV | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 29D2103856 (Nevada) | Primary |