| New Frontier | |
|
1490 Grimes St Fallon NV 89406-3103 | |
| (775) 423-1412 | |
| (775) 423-4054 |
| Full Name | New Frontier |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1490 Grimes St, Fallon, Nevada |
| Authorized Official Name and Position | Lana Robards (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7754231412 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Frontier Po Box 1240 Fallon NV 89407-1240 Ph: (775) 423-1412 | New Frontier 1490 Grimes St Fallon NV 89406-3103 Ph: (775) 423-1412 |
| NPI Number | 1346788411 |
|---|---|
| Provider Enumeration Date | 02/08/2017 |
| Last Update Date | 03/29/2021 |
| Certification Date | 03/29/2021 |
| Medicare PECOS PAC ID | 9032526264 |
|---|---|
| Medicare Enrollment ID | O20210405002392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346788411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5489 ADA-6 (Nevada) | Primary |
| Provider Name | Vicki A Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275187494 PECOS PAC ID: 1456760966 Enrollment ID: I20210513002607 |
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