| Zion Healing Of Nevada Llc | |
|
6940 S Cimarron Rd Ste 200 Las Vegas NV 89113-2135 | |
| (623) 202-8222 | |
| Not Available |
| Full Name | Zion Healing Of Nevada Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6940 S Cimarron Rd Ste 200, Las Vegas, Nevada |
| Authorized Official Name and Position | Isaac Grant (MANAGER) |
| Authorized Official Contact | 7252709819 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zion Healing Of Nevada Llc 4321 Sunrise Flats St Las Vegas NV 89135-2976 Ph: (623) 202-8222 | Zion Healing Of Nevada Llc 6940 S Cimarron Rd Ste 200 Las Vegas NV 89113-2135 Ph: (623) 202-8222 |
| NPI Number | 1700573060 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 04/18/2023 |
| Certification Date | 04/17/2023 |
| Medicare PECOS PAC ID | 1850755901 |
|---|---|
| Medicare Enrollment ID | O20230908000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700573060 | NPI | - | NPPES |
| Provider Name | David Earl Linden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821062324 PECOS PAC ID: 1052228822 Enrollment ID: I20070220000037 |
| Provider Name | Roscelle J Minoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275153884 PECOS PAC ID: 2860801958 Enrollment ID: I20210430001152 |
| Provider Name | Justin Lee Arnold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144622408 PECOS PAC ID: 3375998610 Enrollment ID: I20231006001161 |
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