| Hartwell Family Practice | |
|
190 E Mesquite Blvd Mesquite NV 89027 | |
| (702) 346-4234 | |
| (702) 346-4236 |
| Full Name | Hartwell Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 190 E Mesquite Blvd, Mesquite, Nevada |
| Authorized Official Name and Position | Philip Hartwell (OWNER OPERATING MANAGER) |
| Authorized Official Contact | 7023464234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hartwell Family Practice 190 E Mesquite Blvd Mesquite NV 89027 Ph: (702) 346-4234 | Hartwell Family Practice 190 E Mesquite Blvd Mesquite NV 89027 Ph: (702) 346-4234 |
| NPI Number | 1215089826 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6608854054 |
|---|---|
| Medicare Enrollment ID | O20090518000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215089826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8286 (Nevada) | Primary |
| Provider Name | Philip Hartwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437171253 PECOS PAC ID: 6002989605 Enrollment ID: I20080715000496 |
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