Organization
NEVADA HEALTH CENTERS, INC.
Active
Other names
Eastern Family Medical and Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER B DAVIS (CEO)
(775) 888-6610
Entity
Organization
Contact information
Practice address
2212 S EASTERN AVE, LAS VEGAS, NV 89104-4124
(702) 735-9334
(702) 735-9335
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
291837
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780831925
—
NV
Enumeration date
08/19/2008
Last updated
05/07/2015
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