PIONEER URGENT AND FAMILY MEDICAL CLINIC NPI 1043499130

NPI Information

NPI: 1043499130
Provider Name: PIONEER URGENT AND FAMILY MEDICAL CLINIC

Doing Business As: PIONEER URGENT CARE

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
160 12TH ST
ELKO, NV
ZIP 89801
Phone: (775) 738-2034
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PIONEER URGENT AND FAMILY MEDICAL CLINIC is a multi-specialty clinic center in Elko, NV. PIONEER URGENT AND FAMILY MEDICAL CLINIC NPI is 1043499130. The provider is registered as an organization entity type.
The provider Is Doing Business As Pioneer Urgent Care.

The provider's business location address is:

160 12TH ST
ELKO, NV
ZIP 89801-002
Phone: (775) 738-2034
Fax: (775) 738-3241

The provider's authorized official is Louis Bergeron .
The authorized official title is President/owner and has the following contact phone number (775) 738-2034.

The enumeration date for this NPI number is 10/25/2007 and was last updated on 1/20/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	705372	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E69664	MEDICARE PIN
2	WMBQS02	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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