| Nevada Health Centers Carson City School Based | |
|
618 W. Musser Street Carson City NV 89703 | |
| (775) 445-3500 | |
| (775) 461-3251 |
| Full Name | Nevada Health Centers Carson City School Based |
|---|---|
| Speciality | Clinic/Center |
| Location | 618 W. Musser Street, Carson City, Nevada |
| Authorized Official Name and Position | Walter B Davis (CEO) |
| 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 Carson City School Based 3325 Research Way Carson City NV 89706-7913 Ph: (775) 888-6610 | Nevada Health Centers Carson City School Based 618 W. Musser Street Carson City NV 89703 Ph: (775) 445-3500 |
| NPI Number | 1619348489 |
|---|---|
| Provider Enumeration Date | 10/19/2015 |
| Last Update Date | 10/19/2015 |
| Medicare PECOS PAC ID | 7113835307 |
|---|---|
| Medicare Enrollment ID | O20160427001966 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619348489 | NPI | - | NPPES |
| 29D2102325 | Other | NV | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 29D2102325 (Nevada) | Primary |
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