Pioneer Urgent Care | |
160 12th St Elko NV 89801-4002 | |
(775) 738-2034 | |
(775) 738-3241 |
Full Name | Pioneer Urgent Care |
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Speciality | Clinic/Center |
Location | 160 12th St, Elko, Nevada |
Authorized Official Name and Position | Louis Bergeron (PRESIDENT/OWNER) |
Authorized Official Contact | 7757382034 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pioneer Urgent Care Po Box 2710 Elko NV 89803-2710 Ph: (775) 738-2034 | Pioneer Urgent Care 160 12th St Elko NV 89801-4002 Ph: (775) 738-2034 |
NPI Number | 1043499130 |
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Provider Enumeration Date | 10/25/2007 |
Last Update Date | 01/20/2011 |
Medicare PECOS PAC ID | 7113906181 |
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Medicare Enrollment ID | O20040714001475 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043499130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | 705372 (Nevada) | Primary |
Provider Name | Louis L Bergeron |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336134030 PECOS PAC ID: 0941236954 Enrollment ID: I20050727000702 |
Provider Name | Raquel R Kacin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376647909 PECOS PAC ID: 6305843319 Enrollment ID: I20061106000352 |
Provider Name | Christa E Secord |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740531466 PECOS PAC ID: 8426371071 Enrollment ID: I20150106002218 |
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