Organization
IRENE BENN MEDICAL CENTER
Active
Parent organization
DHHS IHS PHOENIX AREA
Other names
Moapa Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
DHHS IHS PHOENIX AREA
Authorized official
SKY RAINBOW BLACK ELK-VOLKMANN (SUPERVISOR, PATIENT BUSINESS OFFICE)
(605) 384-4844
Entity
Organization
Contact information
Practice address
10 LINCOLN ST, MOAPA, NV 89025-0819
(775) 784-5327
Mailing address
PO BOX 819, MOAPA, NV 89025-0819
(775) 784-5327
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2012
Last updated
12/12/2022
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