Winnemucca Family Medicine Clinic, LTD.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

NV20121768234 Issued in NV

Legal business name

WINNEMUCCA FAMILY MEDICINE CLINIC, LTD.

Practice address

1038 Grass Valley Rd
Suite I
Winnemucca, NV 89445-4207

Phone

(775) 621-5270

Fax

(775) 621-5265

NPI assigned

Feb 13, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Andrews, M.D.

Title

President

Phone

(775) 304-7918

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1376882217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2638",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894462638",
            "telephone_number": "775-304-7918",
            "fax_number": "775-623-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 GRASS VALLEY RD",
            "address_2": "SUITE I",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894454207",
            "telephone_number": "775-621-5270",
            "fax_number": "775-621-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNEMUCCA FAMILY MEDICINE CLINIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-304-7918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NV",
            "license": "NV20121768234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ken Whittaker, COMMUNITY PARAMEDIC
• Pennie Wilde
• Sara Lynn Williams, PRSS
• Winnemucca Dental LLC (Gental Dental Care)
• Winnemucca Emergency Physicians LLC
• Terri Lynn Winter
• Ali R Wirthlin
• Donna M. Wirthlin, M.ED, BSN, RN
• Tavia N Woodcook, LCSW
• Sheralee Anne Woods, LPN

• Clinic/Center in Winnemucca, NV
• Providers in Winnemucca, NV by specialty
• Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.