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Organization

NEVADA HEALTH CENTERS, INC.

Active
Parent organization
NEVADA HEALTH CENTERS, INC.
Other names
Amargosa Valley Medical Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
NEVADA HEALTH CENTERS, INC.
Authorized official
WALTER B DAVIS (CEO)
(775) 888-6610
Entity
Organization

Contact information

Practice address
1690 E AMARGOSA FARM RD, AMARGOSA VALLEY, NV 89020-9735
(775) 372-5432
(775) 372-1303
Mailing address
3325 RESEARCH WAY, ATTN: PAT, 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
291803
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1831278720
NV
01
DQ468D
MEDICARE ID-TYPE UNSPECIFIED
NV
Enumeration date
11/03/2006
Last updated
02/05/2020
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