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1025 Hospital Road Schurz NV 89427-0502 | |
(775) 773-2005 | |
(775) 773-2012 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1025 Hospital Road, Schurz, Nevada |
Authorized Official Name and Position | Andrew B Mcauliffe (HEALTH DIRECTOR) |
Authorized Official Contact | 7757732005 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box C Schurz NV 89427-0502 Ph: (775) 773-2005 | 1025 Hospital Road Schurz NV 89427-0502 Ph: (775) 773-2005 |
NPI Number | 1063622926 |
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Provider Enumeration Date | 05/22/2007 |
Last Update Date | 02/20/2024 |
Medicare PECOS PAC ID | 9133565203 |
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Medicare Enrollment ID | O20240910000815 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063622926 | NPI | - | NPPES |
004711030 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
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261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |
Provider Name | Quinton K Thomas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609856095 PECOS PAC ID: 5799767125 Enrollment ID: I20110131000646 |