| Mission City Community Network, Inc. | |
|
3220 N Bronco St Las Vegas NV 89108-4862 | |
| (818) 895-3100 | |
| (818) 830-0811 |
| Full Name | Mission City Community Network, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3220 N Bronco St, Las Vegas, Nevada |
| Authorized Official Name and Position | Nik Gupta (CEO) |
| Authorized Official Contact | 8188953100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission City Community Network, Inc. 8527 Sepulveda Blvd North Hills CA 91343-5824 Ph: (818) 895-3100 | Mission City Community Network, Inc. 3220 N Bronco St Las Vegas NV 89108-4862 Ph: (818) 895-3100 |
| NPI Number | 1063039469 |
|---|---|
| Provider Enumeration Date | 07/01/2020 |
| Last Update Date | 07/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063039469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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