| Banner Health Center Fallon | |
|
801 E Williams Ave Ste 2207, 2208, 3301, 3310 Fallon NV 89406-3052 | |
| (775) 867-7740 | |
| (775) 423-4219 |
| Full Name | Banner Health Center Fallon |
|---|---|
| Speciality | Clinic/Center |
| Location | 801 E Williams Ave, Fallon, Nevada |
| Authorized Official Name and Position | Robert Carnahan (CEO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Health Center Fallon 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 | Banner Health Center Fallon 801 E Williams Ave Ste 2207, 2208, 3301, 3310 Fallon NV 89406-3052 Ph: (775) 867-7740 |
| NPI Number | 1326568767 |
|---|---|
| Provider Enumeration Date | 06/27/2017 |
| Last Update Date | 03/06/2025 |
| Certification Date | 03/06/2025 |
| Medicare PECOS PAC ID | 9638080500 |
|---|---|
| Medicare Enrollment ID | O20171002002716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326568767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (NU) | Primary |
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