Provider Demographics
NPI:1124577648
Name:DOUGLAS CO & UNINCORPORATED TOWNS
Entity Type:Organization
Organization Name:DOUGLAS CO & UNINCORPORATED TOWNS
Other - Org Name:DOUGLAS COUNTY COMMUNITY HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BROOK
Authorized Official - Middle Name:
Authorized Official - Last Name:ADIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-782-6246
Mailing Address - Street 1:P.O. BOX 218
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:NV
Mailing Address - Zip Code:89423
Mailing Address - Country:US
Mailing Address - Phone:775-782-9821
Mailing Address - Fax:
Practice Address - Street 1:1329 WATERLOO LANE
Practice Address - Street 2:
Practice Address - City:GADRNERVILLE
Practice Address - State:NV
Practice Address - Zip Code:86410
Practice Address - Country:US
Practice Address - Phone:775-782-9038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-26
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health