| Ensign Family Medicine Llc | |
|
5771 S Fort Apache Rd Suite #100 Las Vegas NV 89148-5626 | |
| (702) 951-3400 | |
| (702) 951-3403 |
| Full Name | Ensign Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5771 S Fort Apache Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Sanford F White (OWNER/PHYSICIAN) |
| Authorized Official Contact | 7029513400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ensign Family Medicine Llc 5771 S Fort Apache Rd Suite #100 Las Vegas NV 89148-5626 Ph: (702) 951-3400 | Ensign Family Medicine Llc 5771 S Fort Apache Rd Suite #100 Las Vegas NV 89148-5626 Ph: (702) 951-3400 |
| NPI Number | 1659538247 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 12/06/2010 |
| Medicare PECOS PAC ID | 5890874895 |
|---|---|
| Medicare Enrollment ID | O20080501000586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659538247 | NPI | - | NPPES |
| 002018784 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10240 (Nevada) | Primary |
| Provider Name | Sanford F White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326079724 PECOS PAC ID: 7911899182 Enrollment ID: I20080424000686 |
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