Sun Valley | |
5055 Sun Valley Blvd Ste 100 Sun Valley NV 89433-8296 | |
(775) 870-4334 | |
(775) 870-4634 |
Full Name | Sun Valley |
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Speciality | Clinic/Center |
Location | 5055 Sun Valley Blvd Ste 100, Sun Valley, Nevada |
Authorized Official Name and Position | Jennifer Wheeler (CCO) |
Authorized Official Contact | 7753296300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sun Valley 680 S Rock Blvd Reno NV 89502-4113 Ph: (775) 336-3003 | Sun Valley 5055 Sun Valley Blvd Ste 100 Sun Valley NV 89433-8296 Ph: (775) 870-4334 |
NPI Number | 1427283860 |
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Provider Enumeration Date | 05/28/2009 |
Last Update Date | 01/25/2024 |
Medicare PECOS PAC ID | 3577540160 |
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Medicare Enrollment ID | O20130927000047 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427283860 | NPI | - | NPPES |
100517814 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |