NPI | 1073690616 |
---|---|
Doing Business As | ELKO FAMILY MEDICAL AND DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | WALTER B DAVIS CEO 775-888-6610 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2022-07-21 |