| The Elko Clinic | |
|
1995 Errecart Blvd Suite 102 Elko NV 89801-8336 | |
| (775) 738-3111 | |
| (775) 778-6728 |
| Full Name | The Elko Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1995 Errecart Blvd, Elko, Nevada |
| Authorized Official Name and Position | Tamara B Kiehn (CLINIC MANAGER) |
| Authorized Official Contact | 7757770215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Elko Clinic 1995 Errecart Blvd Suite 102 Elko NV 89801-8336 Ph: (775) 738-3111 | The Elko Clinic 1995 Errecart Blvd Suite 102 Elko NV 89801-8336 Ph: (775) 738-3111 |
| NPI Number | 1720144579 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 05/18/2011 |
| Medicare PECOS PAC ID | 8022908375 |
|---|---|
| Medicare Enrollment ID | O20040318001523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720144579 | NPI | - | NPPES |
| NV1822 | Other | NV | BCBS |
| CN7767 | Other | NV | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | David M Hogle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245395623 PECOS PAC ID: 2264322528 Enrollment ID: I20071219000709 |
| Provider Name | Christopher Hart Ward |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417012998 PECOS PAC ID: 0042486136 Enrollment ID: I20111220000206 |
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