| Activate Healthcare - Chc Nellis | |
|
650 N Nellis Blvd Las Vegas NV 89110-5382 | |
| (702) 691-8181 | |
| Not Available |
| Full Name | Activate Healthcare - Chc Nellis |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 650 N Nellis Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Debra Geihsler (PRINCIPAL) |
| Authorized Official Contact | 8473439190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Activate Healthcare - Chc Nellis 2010 N Damen Ave Suite F Chicago IL 60647-3284 Ph: (773) 697-3144 | Activate Healthcare - Chc Nellis 650 N Nellis Blvd Las Vegas NV 89110-5382 Ph: (702) 691-8181 |
| NPI Number | 1023549177 |
|---|---|
| Provider Enumeration Date | 03/21/2017 |
| Last Update Date | 03/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023549177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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