Mingo Health Solutions | |
4000 S Eastern Ave Ste 240 Las Vegas NV 89119-0847 | |
(170) 255-6263 | |
Not Available |
Full Name | Mingo Health Solutions |
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Speciality | Community/Behavioral Health |
Location | 4000 S Eastern Ave Ste 240, Las Vegas, Nevada |
Authorized Official Name and Position | Dinisha Gray-mingo (CEO/DIRECTOR) |
Authorized Official Contact | 7025562634 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mingo Health Solutions 4000 S Eastern Ave Ste 240 Las Vegas NV 89119-0847 Ph: (170) 255-6263 | Mingo Health Solutions 4000 S Eastern Ave Ste 240 Las Vegas NV 89119-0847 Ph: (170) 255-6263 |
NPI Number | 1447612718 |
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Provider Enumeration Date | 03/24/2016 |
Last Update Date | 09/21/2023 |
Certification Date | 09/21/2023 |
Medicare PECOS PAC ID | 3072855576 |
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Medicare Enrollment ID | O20190502002758 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447612718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | NV20161175420 (Nevada) | Primary |
Provider Name | Satarah Frances Murphy |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053662460 PECOS PAC ID: 7416351960 Enrollment ID: I20210805003413 |
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