Organization
STATE OF NEVADA
Active
Parent organization
STATE OF NEVADA
Other names
Community Health Services, Public Health & Clinical Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF NEVADA
Authorized official
TAMMY RITTER RN (CHNIII)
(775) 684-5031
Entity
Organization
Contact information
Practice address
1005 MAIN STREET, PANACA, NV 89042-0000
(775) 726-3123
Mailing address
727 FAIRVIEW DR STE A, CARSON CITY, NV 89701-5493
(775) 684-5031
(775) 687-1181
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
NV
251J00000X
Nursing Care Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001713906
—
NV
Enumeration date
10/26/2006
Last updated
01/09/2023
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