Organization Name: | WASHOE BARTON MEDICAL CLINIC A NEVADA NONPROFIT CORPORATION |
NPI Number: | 1396799102 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN K DAVILA (CEO) |
Mailing Address: | 1107 Hwy 395 Gardnerville |
State: | NV US |
Postal Code: | 89410 |
Phone Number: | 7757821500 |
Fax Number: | 7757821555 |
NPI Enumeration Date: | 05/19/2006 |
NPI Last Update Date: | 07/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NV |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |