| Holy Trinity Medical Practice | |
|
1477 E Lake Mead Parkway Ste 130 Henderson NV 89011 | |
| (702) 849-9092 | |
| (702) 446-8189 |
| Full Name | Holy Trinity Medical Practice |
|---|---|
| Speciality | General Practice |
| Location | 1477 E Lake Mead Parkway, Henderson, Nevada |
| Authorized Official Name and Position | Michael Kane (OWNER) |
| Authorized Official Contact | 2013701133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holy Trinity Medical Practice Po Box 36777 Las Vegas NV 89133-6777 Ph: () - | Holy Trinity Medical Practice 1477 E Lake Mead Parkway Ste 130 Henderson NV 89011 Ph: (702) 849-9092 |
| NPI Number | 1518659663 |
|---|---|
| Provider Enumeration Date | 05/25/2023 |
| Last Update Date | 12/08/2023 |
| Medicare PECOS PAC ID | 6002253366 |
|---|---|
| Medicare Enrollment ID | O20240321003059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518659663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Michael R Kane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952477762 PECOS PAC ID: 8628095973 Enrollment ID: I20220517000893 |
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