| Topaz Ranch Medical Clinic | |
|
3919 Carter Drive Wellington NV 89444 | |
| (775) 783-3096 | |
| (775) 266-4074 |
| Full Name | Topaz Ranch Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 3919 Carter Drive, Wellington, Nevada |
| Authorized Official Name and Position | Jeffrey Prater (CEO) |
| Authorized Official Contact | 7757821500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Topaz Ranch Medical Clinic 1520 Virginia Ranch Rd Gardnerville NV 89410-5731 Ph: (775) 782-1550 | Topaz Ranch Medical Clinic 3919 Carter Drive Wellington NV 89444 Ph: (775) 783-3096 |
| NPI Number | 1700118536 |
|---|---|
| Provider Enumeration Date | 02/04/2010 |
| Last Update Date | 12/02/2019 |
| Medicare PECOS PAC ID | 7214835149 |
|---|---|
| Medicare Enrollment ID | O20100324000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700118536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 3986HOS-8 (Nevada) | Primary |
South Lyon Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 445 State Route 338, Wellington, NV 89444 Phone: 775-465-2587 |