Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 580 W 5th St, Reno, Nevada |
Authorized Official Name and Position | Sharon Chamberlain (CEO) |
Authorized Official Contact | 7757864673 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
580 W 5th St Reno NV 89503-4407 Ph: (775) 786-4673 | 580 W 5th St Reno NV 89503-4407 Ph: (775) 786-4673 |
NPI Number | 1659792810 |
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Provider Enumeration Date | 12/13/2013 |
Last Update Date | 04/30/2020 |
Medicare PECOS PAC ID | 4385635119 |
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Medicare Enrollment ID | O20140506000630 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659792810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Functional Medicine Of Nevada Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6490 S Mccarran Blvd Ste 16, Reno, NV 89509 Phone: 208-385-7711 | |
John R. Lemieux Md Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6630 S. Mccorran Blvd, Building B Suite 16, Reno, NV 89509 Phone: 775-323-5116 Fax: 775-323-7140 | |
Kelly King Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1180 Sharon Way, Reno, NV 89509 Phone: 775-376-1507 | |
Dr. Gary Danchak, Omd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9393 Gateway Dr, Reno, NV 89521 Phone: 775-849-9800 Fax: 775-849-9801 | |