| Mesquite Clinic Management Company Llc | |
|
1925 Whipple Ave Ste 30 Logandale NV 89021-9934 | |
| (702) 398-3621 | |
| (702) 398-3639 |
| Full Name | Mesquite Clinic Management Company Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1925 Whipple Ave Ste 30, Logandale, Nevada |
| Authorized Official Name and Position | Laura J Fey (DIRECTOR REVENUE CYCLE) |
| Authorized Official Contact | 6152213641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mesquite Clinic Management Company Llc Po Box 26526 Belfast ME 04915-2016 Ph: (702) 398-3621 | Mesquite Clinic Management Company Llc 1925 Whipple Ave Ste 30 Logandale NV 89021-9934 Ph: (702) 398-3621 |
| NPI Number | 1982275236 |
|---|---|
| Provider Enumeration Date | 07/08/2021 |
| Last Update Date | 07/08/2021 |
| Medicare PECOS PAC ID | 8123456456 |
|---|---|
| Medicare Enrollment ID | O20210726003520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982275236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Gorman Moapa Valley Family Pratice Pllc Michael J Gorman Sole Mbr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1925 Whipple Ave, Ste 30, Logandale, NV 89021 Phone: 702-398-3621 Fax: 702-398-3639 |