| Pioneer Urgent Care | |
|
160 12th St Elko NV 89801-4002 | |
| (775) 738-2034 | |
| (775) 738-3241 |
| Full Name | Pioneer Urgent Care |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 01/20/2011 |
| Medicare PECOS PAC ID | 7113906181 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336134030 PECOS PAC ID: 0941236954 Enrollment ID: I20050727000702 |
| Provider Name | Raquel R Kacin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376647909 PECOS PAC ID: 6305843319 Enrollment ID: I20061106000352 |
| Provider Name | Christa E Secord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740531466 PECOS PAC ID: 8426371071 Enrollment ID: I20150106002218 |
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