| Silver State Bh At Renaissance | |
|
1909 S Jones Blvd Las Vegas NV 89146-1260 | |
| (702) 471-0420 | |
| (702) 471-0421 |
| Full Name | Silver State Bh At Renaissance |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1909 S Jones Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Pauline Mah (COO) |
| Authorized Official Contact | 7028085739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver State Bh At Renaissance 2255a Renaissance Dr Las Vegas NV 89119-6194 Ph: () - | Silver State Bh At Renaissance 1909 S Jones Blvd Las Vegas NV 89146-1260 Ph: (702) 471-0420 |
| NPI Number | 1396200838 |
|---|---|
| Provider Enumeration Date | 02/08/2019 |
| Last Update Date | 03/31/2022 |
| Certification Date | 03/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396200838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
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