Provider Demographics
NPI:1255490249
Name:RUBY MOUNTAIN OBSTETRICS AND GYNECOLOGY
Entity Type:Organization
Organization Name:RUBY MOUNTAIN OBSTETRICS AND GYNECOLOGY
Other - Org Name:RUBY MOUNTAIN OBGYN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-777-1600
Mailing Address - Street 1:1995 ERRECART BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-8334
Mailing Address - Country:US
Mailing Address - Phone:775-777-1600
Mailing Address - Fax:775-777-1700
Practice Address - Street 1:1995 ERRECART BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-8334
Practice Address - Country:US
Practice Address - Phone:775-777-1600
Practice Address - Fax:775-777-1700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV002865966-01261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty