Organization
NEVADA PRIME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRID KOLER (OWNER)
(702) 533-2694
Entity
Organization
Contact information
Practice address
800 HASKELL ST STE 203, RENO, NV 89509-2893
(702) 533-2694
(775) 571-1860
Mailing address
3100 MILL ST STE 213B, RENO, NV 89502-2274
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/04/2020
Last updated
07/10/2020
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