| Legacy Urgent Care | |
|
105 N Pecos Rd Ste111 Henderson NV 89074-7324 | |
| (702) 263-4555 | |
| (702) 263-4671 |
| Full Name | Legacy Urgent Care |
|---|---|
| Speciality | General Practice |
| Location | 105 N Pecos Rd, Henderson, Nevada |
| Authorized Official Name and Position | Michael Frank Schlaack (PRESIDENT) |
| Authorized Official Contact | 7022634555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Urgent Care 105 N Pecos Rd Ste111 Henderson NV 89074-7324 Ph: (702) 263-4555 | Legacy Urgent Care 105 N Pecos Rd Ste111 Henderson NV 89074-7324 Ph: (702) 263-4555 |
| NPI Number | 1861571465 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 11/13/2007 |
| Medicare PECOS PAC ID | 7012994965 |
|---|---|
| Medicare Enrollment ID | O20040630000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861571465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4845 (Nevada) | Secondary |
| 208D00000X | General Practice | 4845 (Nevada) | Primary |
| Provider Name | Michael F Schlaack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356410369 PECOS PAC ID: 0345227112 Enrollment ID: I20051017000928 |
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