Provider Demographics
NPI:1467518530
Name:MORNING STAR HEALTH CENTERS
Entity Type:Organization
Organization Name:MORNING STAR HEALTH CENTERS
Other - Org Name:MORNING STAR HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:POWER
Authorized Official - Suffix:
Authorized Official - Credentials:APN, FNP-C, MSN
Authorized Official - Phone:775-738-1212
Mailing Address - Street 1:391 EDGEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:SPRING CREEK
Mailing Address - State:NV
Mailing Address - Zip Code:89815-5708
Mailing Address - Country:US
Mailing Address - Phone:775-738-1212
Mailing Address - Fax:
Practice Address - Street 1:1250 LAMOILLE HWY
Practice Address - Street 2:SUITE 413
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-4396
Practice Address - Country:US
Practice Address - Phone:775-778-9661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV487207Q00000X
NV111363LP2300X
AZ279363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
Not Answered363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Multi-Specialty