| Aumbria Health And Aesthetics Llc | |
|
1301 Bertha Howe Ave Ste# 2 Mesquite NV 89027-7502 | |
| (702) 345-3312 | |
| (702) 345-3374 |
| Full Name | Aumbria Health And Aesthetics Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1301 Bertha Howe Ave, Mesquite, Nevada |
| Authorized Official Name and Position | Gladys Ampong Kodjoe (PRACTICE OWNER) |
| Authorized Official Contact | 7022418721 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aumbria Health And Aesthetics Llc 1301 Bertha Howe Ave Ste# 2 Mesquite NV 89027-7502 Ph: (702) 345-3312 | Aumbria Health And Aesthetics Llc 1301 Bertha Howe Ave Ste# 2 Mesquite NV 89027-7502 Ph: (702) 345-3312 |
| NPI Number | 1902298243 |
|---|---|
| Provider Enumeration Date | 02/24/2015 |
| Last Update Date | 03/18/2016 |
| Medicare PECOS PAC ID | 9830419381 |
|---|---|
| Medicare Enrollment ID | O20150522001738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902298243 | NPI | - | NPPES |
| NV20151021732 | Other | NV | NV SECRETARY OF STATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 13300 (Nevada) | Primary |
| Provider Name | Gladys Kodjoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326281882 PECOS PAC ID: 3274672423 Enrollment ID: I20091201000097 |
| Provider Name | Beatrice Mary Blay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053830430 PECOS PAC ID: 1254690944 Enrollment ID: I20180126000606 |
| Provider Name | Rachelle Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265063531 PECOS PAC ID: 6305273277 Enrollment ID: I20200305002309 |
Hartwell Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 190 E Mesquite Blvd, Mesquite, NV 89027 Phone: 702-346-4234 Fax: 702-346-4236 | |
Virgin Valley Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 N Sandhill Blvd, Mesquite, NV 89027 Phone: 702-345-5000 Fax: 702-345-2000 | |
Desert Sky Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 840 Pinnacle Ct Bldg 10, Mesquite, NV 89027 Phone: 775-225-1414 Fax: 775-225-1415 | |
Mesquite Clinic Management Company Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1301 Bertha Howe Ave Ste 1, Mesquite, NV 89027 Phone: 702-346-0800 Fax: 702-346-0801 | |
Mesquite Clinic Management Company Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1301 Bertha Howe Ave Ste 1, Mesquite, NV 89027 Phone: 702-346-0800 | |
Central Utah Clinic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Falcon Ridge Pkwy Ste 400a, Mesquite, NV 89027 Phone: 801-377-5757 Fax: 801-418-0941 | |
Habib Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 N Sandhill Blvd, Mesquite, NV 89027 Phone: 702-345-5000 Fax: 702-345-2000 |