| Downtown Outreach Clinic | |
|
403 W Wilson Las Vegas NV 89106 | |
| (702) 380-8511 | |
| (702) 380-1120 |
| Full Name | Downtown Outreach Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 403 W Wilson, Las Vegas, Nevada |
| Authorized Official Name and Position | Thomas G Chase (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7758871590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Downtown Outreach Clinic 1802 N Carson St Suite 100 Carson City NV 89701-1215 Ph: (775) 888-6610 | Downtown Outreach Clinic 403 W Wilson Las Vegas NV 89106 Ph: (702) 380-8511 |
| NPI Number | 1417075375 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417075375 | NPI | - | NPPES |
| 100508045 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Nevada) | Primary |
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