Provider Demographics
NPI:1134949605
Name:AFFINITY HEALTH ELKO, LLC
Entity type:Organization
Organization Name:AFFINITY HEALTH ELKO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:BROWNING
Authorized Official - Suffix:
Authorized Official - Credentials:CCS
Authorized Official - Phone:775-340-9600
Mailing Address - Street 1:2102 IDAHO ST
Mailing Address - Street 2:
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-2625
Mailing Address - Country:US
Mailing Address - Phone:775-389-5778
Mailing Address - Fax:775-460-2368
Practice Address - Street 1:2102 IDAHO ST
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-2625
Practice Address - Country:US
Practice Address - Phone:775-389-5778
Practice Address - Fax:775-460-2368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty