| Pyramid Lake Tribal Health Clinic | |
|
705 Highway 446 Nixon NV 89424 | |
| (775) 574-1018 | |
| (775) 574-1114 |
| Full Name | Pyramid Lake Tribal Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 705 Highway 446, Nixon, Nevada |
| Authorized Official Name and Position | Dawna Lee Brown (HEALTH DIRECTOR) |
| Authorized Official Contact | 7755741018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pyramid Lake Tribal Health Clinic Po Box 227 Nixon NV 89424 Ph: (775) 574-1018 | Pyramid Lake Tribal Health Clinic 705 Highway 446 Nixon NV 89424 Ph: (775) 574-1018 |
| NPI Number | 1285740035 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 02/01/2016 |
| Medicare PECOS PAC ID | 5799746376 |
|---|---|
| Medicare Enrollment ID | O20090212000723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285740035 | NPI | - | NPPES |
| 4716673 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Nevada) | Primary |
Pyramid Lake Tribal Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Highway 446, Nixon, NV 89424 Phone: 775-574-1018 | |
Pyramid Lake Tribal Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Hwy 446, Nixon, NV 89424 Phone: 775-574-1018 |