| Activate Healthcare - Ccff Local 1908 | |
|
2004 S Jones Blvd Las Vegas NV 89146-3151 | |
| (702) 463-3631 | |
| (702) 331-7343 |
| Full Name | Activate Healthcare - Ccff Local 1908 |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2004 S Jones Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Jill Johnson Patton (DIRECTOR OF RISK MANAGEMENT) |
| Authorized Official Contact | 7049365546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Activate Healthcare - Ccff Local 1908 4651 Charlotte Park Dr Ste 300 Charlotte NC 28217-1916 Ph: () - | Activate Healthcare - Ccff Local 1908 2004 S Jones Blvd Las Vegas NV 89146-3151 Ph: (702) 463-3631 |
| NPI Number | 1467948950 |
|---|---|
| Provider Enumeration Date | 07/08/2018 |
| Last Update Date | 08/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467948950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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