Provider Demographics
NPI:1346286077
Name:URGENT CARE ASSOCIATION OF NEVADA, LLC
Entity Type:Organization
Organization Name:URGENT CARE ASSOCIATION OF NEVADA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-885-2211
Mailing Address - Street 1:212 W ANN ST
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-3901
Mailing Address - Country:US
Mailing Address - Phone:775-885-2211
Mailing Address - Fax:775-885-0773
Practice Address - Street 1:1711 N ROOP ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-3113
Practice Address - Country:US
Practice Address - Phone:775-887-2195
Practice Address - Fax:775-887-2182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty