| Mt Grant Medical Building | |
|
200 South A Street Hawthorne NV 89415-1510 | |
| (775) 945-2461 | |
| (775) 945-2359 |
| Full Name | Mt Grant Medical Building |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 South A Street, Hawthorne, Nevada |
| Authorized Official Name and Position | Gregory J Schumann (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 7759452461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt Grant Medical Building 200 South A Street Po Box 1510 Hawthorne NV 89415-1510 Ph: (775) 945-2461 | Mt Grant Medical Building 200 South A Street Hawthorne NV 89415-1510 Ph: (775) 945-2461 |
| NPI Number | 1336197086 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1951290337 |
|---|---|
| Medicare Enrollment ID | O20100426000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336197086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 1170RHC-8 (Nevada) | Primary |
Banner Health Physicians West Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 South A Street, Hawthorne, NV 89415 Phone: 775-423-3151 Fax: 775-428-2166 | |
Mt. Grant General Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1st And A St, Hawthorne, NV 89415 Phone: 775-945-2461 Fax: 775-945-2359 |