Organization
NEVADA HEALTH CENTERS INC
Active
Parent organization
NEVADA HEALTH CENTERS INC
Other names
Elko Family Medical and Dental Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEVADA HEALTH CENTERS INC
Authorized official
WALTER B DAVIS (CEO)
(775) 888-6610
Entity
Organization
Contact information
Practice address
762 14TH ST, ELKO, NV 89801-3413
(775) 738-1553
(775) 738-5856
Mailing address
3325 RESEARCH WAY, CARSON CITY, NV 89706-7913
(775) 888-6610
(775) 888-4904
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073690616
—
NV
01
—
DQ468C
MEDICARE ID - TYPE UNSPECIFIED
NV
Enumeration date
11/01/2006
Last updated
07/21/2022
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