| C & C Health Care Services Llc | |
|
575 E Plumb Ln # 201e Reno NV 89502-3540 | |
| (775) 682-0020 | |
| (702) 995-6509 |
| Full Name | C & C Health Care Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 575 E Plumb Ln # 201e, Reno, Nevada |
| Authorized Official Name and Position | Christopher Carter (OWNER) |
| Authorized Official Contact | 7028303169 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C & C Health Care Services Llc 1500 E Tropicana Ave Ste 118 Las Vegas NV 89119-6516 Ph: (775) 682-0020 | C & C Health Care Services Llc 575 E Plumb Ln # 201e Reno NV 89502-3540 Ph: (775) 682-0020 |
| NPI Number | 1417510439 |
|---|---|
| Provider Enumeration Date | 04/16/2019 |
| Last Update Date | 03/23/2025 |
| Certification Date | 03/23/2025 |
| Medicare PECOS PAC ID | 2961830401 |
|---|---|
| Medicare Enrollment ID | O20200317001445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417510439 | NPI | - | NPPES |
| 1417510439 | Medicaid | NV |
| Provider Name | David Prothro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942208426 PECOS PAC ID: 1254395171 Enrollment ID: I20050128000275 |
| Provider Name | Nathan Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639602683 PECOS PAC ID: 2860762549 Enrollment ID: I20170728001050 |
| Provider Name | Aymara Valladares |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184865289 PECOS PAC ID: 1355796244 Enrollment ID: I20240506004613 |
| Provider Name | Bhen Nasol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396596052 PECOS PAC ID: 0446774475 Enrollment ID: I20250410002824 |
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