| U.S. Navy | |
|
4755 Pasture Rd Fallon NV 89496-3115 | |
| (775) 426-3126 | |
| Not Available |
| Full Name | U.S. Navy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4755 Pasture Rd, Fallon, Nevada |
| Authorized Official Name and Position | Jacob M Mearse (NURSE PRACTITIONER) |
| Authorized Official Contact | 7754263125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| U.S. Navy 4755 Pasture Rd Fallon NV 89496-3115 Ph: (775) 426-3126 | U.S. Navy 4755 Pasture Rd Fallon NV 89496-3115 Ph: (775) 426-3126 |
| NPI Number | 1518360072 |
|---|---|
| Provider Enumeration Date | 09/29/2014 |
| Last Update Date | 10/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518360072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | AP60510295 (Washington) | Primary |
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