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213 S Whitacre St Yerington NV 89447-2561 | |
| (775) 463-2301 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 213 S Whitacre St, Yerington, Nevada |
| Authorized Official Name and Position | Kylee Fowler (MEDICAL STAFF COORDINATOR) |
| Authorized Official Contact | 7754636491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
213 S Whitacre St Yerington NV 89447-2561 Ph: (775) 463-2301 | 213 S Whitacre St Yerington NV 89447-2561 Ph: (775) 463-2301 |
| NPI Number | 1669432753 |
|---|---|
| Provider Enumeration Date | 03/24/2006 |
| Last Update Date | 05/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669432753 | NPI | - | NPPES |
| 001910863 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 282N00000X | General Acute Care Hospital | 660HOS-9 (Nevada) | Secondary |