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MERRY MEDICAL TEAM NPI 1194791962


NPI Information

NPI: 1194791962
Provider Name: MERRY MEDICAL TEAM
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1649 LUCERNE ST
STE A & B
MINDEN, NV
ZIP 89423
Phone: (775) 782-1603
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MERRY MEDICAL TEAM is a family medicine in Minden, NV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MERRY MEDICAL TEAM NPI is 1194791962. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1649 LUCERNE ST
STE A & B
MINDEN, NV
ZIP 89423-363
Phone: (775) 782-1603
Fax: (775) 782-3427

The provider's authorized official is Thomas Gordon Merry .
The authorized official title is President and has the following contact phone number (775) 782-1603.

The enumeration date for this NPI number is 2/23/2006 and was last updated on 7/21/2022.


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
1208000000XPediatricsNo
2207R00000XInternal MedicineNo
3207Q00000XFamily MedicineNEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100506316MEDICAIDNEVADA

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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