Gary C Ridenour Md A Prof Corp

LBN: Gary C Ridenour Md A Prof Corp
Gary C Ridenour Md A Prof Corp is an health care organization with primary practice located at 625 W Williams Ave Ste B, Fallon NV 89406. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Gary C Ridenour Md A Prof Corp can be contacted via phone (775) 423-6400, or through Ridenour, Gary Charles via phone (775) 423-6400.

Contact Information

Primary practice address
625 W Williams Ave Ste B Fallon NV 89406
Phone: (775) 423-6400
Fax: (775) 423-9411
Website:
Map and Directions
Authorized official contact:
Name: Ridenour, Gary Charles Doctor of Medicine (MD)
Phone: (775) 423-6400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1043253727
LBN Legal business name Gary C Ridenour Md A Prof Corp
DBA Doing business as
Authorized official Ridenour, Gary Charles Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated May 31st, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043253727 NPPES
Nevada MEDICAID 002001209

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