| Spectra Health Lv | |
|
5495 S Rainbow Blvd Ste 202 Las Vegas NV 89118-1873 | |
| (702) 906-0027 | |
| (702) 906-0160 |
| Full Name | Spectra Health Lv |
|---|---|
| Speciality | Clinic/Center |
| Location | 5495 S Rainbow Blvd Ste 202, Las Vegas, Nevada |
| Authorized Official Name and Position | Rebekah Truman (PRESIDENT) |
| Authorized Official Contact | 7029060027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectra Health Lv 1000 N Green Valley Pkwy # 440-493 Henderson NV 89074-6163 Ph: (702) 906-0027 | Spectra Health Lv 5495 S Rainbow Blvd Ste 202 Las Vegas NV 89118-1873 Ph: (702) 906-0027 |
| NPI Number | 1942948625 |
|---|---|
| Provider Enumeration Date | 05/23/2022 |
| Last Update Date | 08/30/2022 |
| Medicare PECOS PAC ID | 3173908787 |
|---|---|
| Medicare Enrollment ID | O20220919001478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942948625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Tawni J Christensen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881640662 PECOS PAC ID: 5193737138 Enrollment ID: I20060612000294 |
| Provider Name | Erick Cartaya Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710435524 PECOS PAC ID: 4183049778 Enrollment ID: I20200729002944 |
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