Lcmcc Llc | |
1480 E Calvada Blvd Ste 700 Pahrump NV 89048-3963 | |
(702) 978-1648 | |
Not Available |
Full Name | Lcmcc Llc |
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Speciality | Family Medicine |
Location | 1480 E Calvada Blvd Ste 700, Pahrump, Nevada |
Authorized Official Name and Position | Mary Charmaine Estrella Campana (PHYSICIAN) |
Authorized Official Contact | 7029781648 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lcmcc Llc 1050 E. Flamingo Road Ste. 107 Pmb 2088 Las Vegas NV 89119 Ph: (702) 978-1648 | Lcmcc Llc 1480 E Calvada Blvd Ste 700 Pahrump NV 89048-3963 Ph: (702) 978-1648 |
NPI Number | 1528813383 |
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Provider Enumeration Date | 04/23/2024 |
Last Update Date | 04/23/2024 |
Medicare PECOS PAC ID | 6709312408 |
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Medicare Enrollment ID | O20241204003779 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528813383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Mary Charmaine Estrella Campana |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821274267 PECOS PAC ID: 0042372179 Enrollment ID: I20220917000169 |
Ryse N Shine Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 70 S Highway 160, Unit 101, Pahrump, NV 89048 Phone: 760-382-5115 Fax: 702-825-7893 | |
Pahrump Family Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1280 E Calvada Blvd, Pahrump, NV 89048 Phone: 775-910-9811 Fax: 775-751-3056 |