Organization
PRIMECARE NEVADA INC.
Active
Other names
Nye Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE C ALLEN (CEO/ADMINISTRATOR)
(775) 482-6233
Entity
Organization
Contact information
Practice address
825 SOUTH MAIN STREET, TONOPAH, NV 89049-0391
(775) 482-6233
(775) 482-6155
Mailing address
825 SOUTH MAIN STREET, TONOPAH, NV 89049-0391
(775) 482-6233
(775) 482-6155
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
65RUH-34
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290020
PTAN
NV
Enumeration date
04/20/2015
Last updated
04/20/2015
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