| Vitality Healthcare | |
|
343 Elm St Ste 201 Reno NV 89503-4538 | |
| (775) 470-6651 | |
| (775) 622-0788 |
| Full Name | Vitality Healthcare |
|---|---|
| Speciality | General Practice |
| Location | 343 Elm St Ste 201, Reno, Nevada |
| Authorized Official Name and Position | Lary Richard Korn (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8642662413 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Healthcare 343 Elm St Ste 201 Reno NV 89503-4538 Ph: (775) 470-6651 | Vitality Healthcare 343 Elm St Ste 201 Reno NV 89503-4538 Ph: (775) 470-6651 |
| NPI Number | 1629689310 |
|---|---|
| Provider Enumeration Date | 08/14/2020 |
| Last Update Date | 10/06/2020 |
| Medicare PECOS PAC ID | 1658797881 |
|---|---|
| Medicare Enrollment ID | O20200818002276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629689310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Lary Korn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255578860 PECOS PAC ID: 2264580190 Enrollment ID: I20200814002791 |
| Provider Name | Jennifer D Andrea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386029163 PECOS PAC ID: 4981913738 Enrollment ID: I20200909003476 |
Functional Medicine Of Nevada Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6490 S Mccarran Blvd Ste 16, Reno, NV 89509 Phone: 208-385-7711 | |
Neil Road Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3915 Neil Rd, Reno, NV 89502 Phone: 775-870-4333 Fax: 775-870-4633 | |
John R. Lemieux Md Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6630 S. Mccorran Blvd, Building B Suite 16, Reno, NV 89509 Phone: 775-323-5116 Fax: 775-323-7140 | |
Kelly King Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1180 Sharon Way, Reno, NV 89509 Phone: 775-376-1507 | |
Vera Whole Health Reno Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 699 Sierra Rose Drive, Reno, NV 89511 Phone: 775-299-4649 Fax: 775-313-9707 | |
Triangle Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1475 Terminal Way, Suite A1, Reno, NV 89502 Phone: 775-331-6400 | |
Dr. Gary Danchak, Omd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9393 Gateway Dr, Reno, NV 89521 Phone: 775-849-9800 Fax: 775-849-9801 |