NPIMap

Organization Active NPI

Pioneer Urgent and Family Medical Clinic

  • Multi-Specialty Clinic/Center
  • Elko, NV
National Provider Identifier
1043499130
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
705372 Issued in NV
Legal business name
PIONEER URGENT AND FAMILY MEDICAL CLINIC
Practice address
160 12TH St
Elko, NV 89801-4002
Phone
(775) 738-2034
Fax
(775) 738-3241
NPI assigned
Oct 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Louis Bergeron, M.D.
Title
President/Owner
Phone
(775) 738-2034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 705372 NV Primary

Addresses

Primary practice location

160 12TH St
Elko, NV 89801-4002

Mailing address

PO Box 2710
Elko, NV 89803-2710
Phone (775) 738-2034

Other names 1

  • Pioneer Urgent Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1043499130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2710",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898032710",
            "telephone_number": "775-738-2034",
            "fax_number": "775-738-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 12TH ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898014002",
            "telephone_number": "775-738-2034",
            "fax_number": "775-738-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER URGENT AND FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "BERGERON",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "775-738-2034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NV",
            "license": "705372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.