Aloha Medical Center | |
9816 Gilespie St Suite 550 Las Vegas NV 89183-7602 | |
(702) 202-6336 | |
(702) 202-6318 |
Full Name | Aloha Medical Center |
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Speciality | Family Medicine |
Location | 9816 Gilespie St, Las Vegas, Nevada |
Authorized Official Name and Position | Aaron A Adaoag (PRESIDENT) |
Authorized Official Contact | 7022026336 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aloha Medical Center 9816 Gilespie St Suite 550 Las Vegas NV 89183-7602 Ph: (702) 202-6336 | Aloha Medical Center 9816 Gilespie St Suite 550 Las Vegas NV 89183-7602 Ph: (702) 202-6336 |
NPI Number | 1295904027 |
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Provider Enumeration Date | 02/26/2008 |
Last Update Date | 12/09/2014 |
Medicare PECOS PAC ID | 0042395485 |
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Medicare Enrollment ID | O20080311000040 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295904027 | NPI | - | NPPES |
100508146 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 11256 (Nevada) | Primary |
Provider Name | Aaron A Adaoag |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609834852 PECOS PAC ID: 8527029354 Enrollment ID: I20060224000106 |
Provider Name | Aric P Adaoag |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003262296 PECOS PAC ID: 2264799741 Enrollment ID: I20171208002100 |
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