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CARSON VALLEY MEDICAL CENTER RURAL HEALTH CLINIC NPI 1174708879


NPI Information

NPI: 1174708879
Provider Name: CARSON VALLEY MEDICAL CENTER RURAL HEALTH CLINIC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 29D0876062

Address:
1520 VIRGINIA RANCH RD
GARDNERVILLE, NV
ZIP 89410
Phone: (775) 782-1550
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CARSON VALLEY MEDICAL CENTER RURAL HEALTH CLINIC is an internal medicine in Gardnerville, NV. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CARSON VALLEY MEDICAL CENTER RURAL HEALTH CLINIC NPI is 1174708879. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1520 VIRGINIA RANCH RD
GARDNERVILLE, NV
ZIP 89410-731
Phone: (775) 782-1550
Fax: (775) 782-1513

The provider's authorized official is Jeffrey Prater .
The authorized official title is Ceo and has the following contact phone number (775) 782-1500.

The CLIA number assigned to this NPI record is 29D0876062 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/1/2008 and was last updated on 12/2/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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