1639280118 NPI number — HEALTH CARE CENTER OF SOUTHERN NEVADA

Table of content: (NPI 1639280118)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639280118 NPI number — HEALTH CARE CENTER OF SOUTHERN NEVADA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTH CARE CENTER OF SOUTHERN NEVADA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639280118
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 97075
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89193-7075
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-314-2400
Provider Business Mailing Address Fax Number:
702-314-2405

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2842 E LAKE MEAD BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89030-6548
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-314-2400
Provider Business Practice Location Address Fax Number:
702-314-2405
Provider Enumeration Date:
08/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SABIO
Authorized Official First Name:
NONG
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
702-314-2400

Provider Taxonomy Codes

  • Taxonomy code: 207QA0505X , with the licence number:  54847 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 207QG0300X , with the licence number: 54847 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)





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