Organization
COUNTY OF LANDER
Active
Parent organization
COUNTY OF LANDER
Other names
Lander County Community Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF LANDER
Authorized official
DEONILLA FULLER (HEALTH ASSISTANT)
(775) 635-2386
Entity
Organization
Contact information
Practice address
825 N 2ND ST, BATTLE MOUNTAIN, NV 89820-2834
(775) 635-2386
Mailing address
825 N 2ND ST, BATTLE MOUNTAIN, NV 89820-2834
(775) 635-2386
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700174802
—
NV
Enumeration date
06/12/2018
Last updated
10/11/2019
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