Provider Demographics
NPI:1588676530
Name:MCCLINTOCK - HALL, LTD
Entity Type:Organization
Organization Name:MCCLINTOCK - HALL, LTD
Other - Org Name:PYRAMID HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:775-356-6040
Mailing Address - Street 1:2415 PYRAMID WAY STE A
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-2195
Mailing Address - Country:US
Mailing Address - Phone:775-356-6040
Mailing Address - Fax:775-356-7306
Practice Address - Street 1:2415 PYRAMID WAY STE A
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-2195
Practice Address - Country:US
Practice Address - Phone:775-356-6040
Practice Address - Fax:775-356-7306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVVWCHKDMedicare PIN