| NPI | 1407463540 |
|---|---|
| Other Name | MEDICAL MOBILE VAN |
| Entity Type | Organization |
| Authorized Contact | JENNIFER WHEELER Cco 775-329-6300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2024-01-25 |