Organization
NEVADA HEALTH CENTERS INC.
Active
Other names
Nevada Health Centers Mammovan
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER B DAVIS (CEO)
(775) 888-6610
Entity
Organization
Contact information
Practice address
1799 MOUNT MARIAH DR, LAS VEGAS, NV 89106-1501
(877) 581-6266
(702) 220-3679
Mailing address
3325 RESEARCH WAY, CARSON CITY, NV 89706-7913
(775) 888-6610
(775) 888-4904
Taxonomy
Speciality
Code
Description
License number
State
261QR0207X
Mobile Mammography Clinic/Center
Primary
03-54-3392-01
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-54-3392-01
NEVADA RADIATION CONTROL PROGRAM REGISTRIATION
NV
05
—
1386944593
—
NV
01
—
DQ468A
MEDICARE ID - TYPE UNSPECIFIED
NV
Enumeration date
10/22/2010
Last updated
06/10/2014
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