Provider Demographics
NPI:1477239325
Name:CENTRAL NEVADA HEALTH DISTRICT
Entity Type:Organization
Organization Name:CENTRAL NEVADA HEALTH DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CALEB
Authorized Official - Middle Name:
Authorized Official - Last Name:CAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-338-9151
Mailing Address - Street 1:485 WEST B STREET, SUITE 105
Mailing Address - Street 2:
Mailing Address - City:FALLON
Mailing Address - State:NV
Mailing Address - Zip Code:89406
Mailing Address - Country:US
Mailing Address - Phone:775-423-6695
Mailing Address - Fax:775-423-8057
Practice Address - Street 1:485 WEST B STREET SUITE 101
Practice Address - Street 2:
Practice Address - City:FALLON
Practice Address - State:NV
Practice Address - Zip Code:89406
Practice Address - Country:US
Practice Address - Phone:775-423-6695
Practice Address - Fax:775-423-8057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center