Organization
JADE NOBE CLINIC-JHMC, LLC
Active
Other names
Jade House Managed Care
Organization subpart
No
Provider details
NPI number
Authorized official
BETTINA GISELLE ALVAREZ FNP/APRNC (OWNER)
(775) 623-9120
Entity
Organization
Contact information
Practice address
200 W 5TH ST, WINNEMUCCA, NV 89445-3413
(775) 623-9120
(775) 623-9140
Mailing address
PO BOX 344, MC DERMITT, NV 89421-0344
(775) 623-9120
(775) 623-9140
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100544708
—
NV
Enumeration date
04/19/2019
Last updated
01/20/2023
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