Great Basin Occupational Health and Preventive Medicine, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

13009 Issued in NV

Legal business name

GREAT BASIN OCCUPATIONAL HEALTH AND PREVENTIVE MEDICINE, LLC

Practice address

401 Railroad St
Suite 203
Elko, NV 89801-3763

Phone

(775) 753-3770

Fax

(270) 342-1665

NPI assigned

Aug 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Harry Leo Duran, MD

Title

Owner

Phone

(775) 340-2140

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1992172761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 COURT ST",
            "address_2": "#209",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898013947",
            "telephone_number": "775-340-2140",
            "fax_number": "270-342-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RAILROAD ST",
            "address_2": "SUITE 203",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898013763",
            "telephone_number": "775-753-3770",
            "fax_number": "270-342-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT BASIN OCCUPATIONAL HEALTH AND PREVENTIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "DURAN",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-340-2140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NV",
            "license": "13009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Goehner
• Jessie Renee Goerdt, CNA
• Mayra Lucia Gonzalez, RDH
• Monica Gonzalez
• McKenzie Jordan Good
• Great Basin Pain & Wellness LLC
• Great Basin Surgical Center, LLC
• Valerie A Grinsell, M.A.
• Tessla Marie Griswold
• Marian Zander Groff, CNM MSN

• Primary Care Clinic/Center in Elko, NV
• Providers in Elko, NV by specialty
• Primary Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.