| South L Yon Health Center, Inc. | |
|
311 Surprise Ave Yerington NV 89447-2565 | |
| (775) 463-2301 | |
| Not Available |
| Full Name | South L Yon Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 311 Surprise Ave, Yerington, Nevada |
| Authorized Official Name and Position | Cyli Resendiz (MEDICAL STAFF SUPERVISOR) |
| Authorized Official Contact | 7754636462 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South L Yon Health Center, Inc. 213 S Whitacre St Yerington NV 89447-2561 Ph: (775) 463-2301 | South L Yon Health Center, Inc. 311 Surprise Ave Yerington NV 89447-2565 Ph: (775) 463-2301 |
| NPI Number | 1992765085 |
|---|---|
| Provider Enumeration Date | 03/24/2006 |
| Last Update Date | 05/08/2025 |
| Medicare PECOS PAC ID | 0648178533 |
|---|---|
| Medicare Enrollment ID | O20100423000625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992765085 | NPI | - | NPPES |
| 001510001 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 3381RHC-4 (Nevada) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
South Lyon Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 S. Whitacre, Yerington, NV 89447 Phone: 775-463-2301 Fax: 775-463-4300 | |
South Lyon Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 213 S. Whitacre, Yerington, NV 89447 Phone: 775-463-2301 |