| Nevada Integrated Health Center | |
|
3399 S Eastern Ave Las Vegas NV 89169-3312 | |
| (702) 945-4202 | |
| Not Available |
| Full Name | Nevada Integrated Health Center |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3399 S Eastern Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Friday Irorobeje (CEO) |
| Authorized Official Contact | 7029454202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nevada Integrated Health Center 11055 Kilkerran Ct Las Vegas NV 89141-4356 Ph: (702) 945-4202 | Nevada Integrated Health Center 3399 S Eastern Ave Las Vegas NV 89169-3312 Ph: (702) 945-4202 |
| NPI Number | 1053934927 |
|---|---|
| Provider Enumeration Date | 05/26/2020 |
| Last Update Date | 04/07/2022 |
| Certification Date | 04/07/2022 |
| Medicare PECOS PAC ID | 7719307222 |
|---|---|
| Medicare Enrollment ID | O20201022002738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053934927 | NPI | - | NPPES |
| Provider Name | Friday O Irorobeje |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902217656 PECOS PAC ID: 2769786599 Enrollment ID: I20160215001717 |
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