Organization · Type 2 NPI
Premise Health of Nevada Medical Hinitt P C
Non-Pharmacy Dispensing Site · Stateline, NV
NPI number
1306333604
Active
Practice location
15 Highway 50
Stateline, NV 89449
Fax (775) 586-5055
Mailing address
5500 Maryland Way Ste 400
Brentwood, TN 37027-7048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | PD00694 (NV) |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Another provider at this address
About NPI 1306333604
Premise Health of Nevada Medical Hinitt P C's National Provider Identifier is 1306333604, issued on Apr 23, 2018. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Stateline, NV. The record was last updated on Apr 1, 2019.