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Po Box C Po Box C Schurz NV 89427-0502 | |
(775) 773-2005 | |
(775) 773-2012 |
Full Name | |
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Speciality | Clinic/center - Public Health, Federal |
Location | Po Box C, Schurz, Nevada |
Authorized Official Name and Position | Kenneth Richardson (CLINIC DIRECTOR) |
Authorized Official Contact | 7757732005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box C Schurz NV 89427-0502 Ph: (775) 773-2005 | Po Box C Po Box C Schurz NV 89427-0502 Ph: (775) 773-2005 |
NPI Number | 1699918243 |
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Provider Enumeration Date | 04/13/2009 |
Last Update Date | 04/13/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699918243 | NPI | - | NPPES |
004711030 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
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261QP0904X | Clinic/center - Public Health, Federal | 431 (Nevada) | Primary |