| Activate Healthcare - Local 357 (red) | |
|
51 N Pecos Rd Ste 110 Las Vegas NV 89101-4819 | |
| (702) 437-0227 | |
| (702) 437-0228 |
| Full Name | Activate Healthcare - Local 357 (red) |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 51 N Pecos Rd Ste 110, 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 - Local 357 (red) 4651 Charlotte Park Dr Ste 300 Charlotte NC 28217-1916 Ph: () - | Activate Healthcare - Local 357 (red) 51 N Pecos Rd Ste 110 Las Vegas NV 89101-4819 Ph: (702) 437-0227 |
| NPI Number | 1467976969 |
|---|---|
| Provider Enumeration Date | 07/27/2017 |
| Last Update Date | 08/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467976969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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