Telemed And Health | |
3031 W Horizon Ridge Pkwy Ste 120 Henderson NV 89052-3809 | |
(702) 614-4476 | |
(702) 914-7644 |
Full Name | Telemed And Health |
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Speciality | Clinic/Center |
Location | 3031 W Horizon Ridge Pkwy Ste 120, Henderson, Nevada |
Authorized Official Name and Position | Monica Jayne Wall (PRESIDENT) |
Authorized Official Contact | 7026144476 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Telemed And Health Po Box 530245 Henderson NV 89053-0245 Ph: (702) 614-4476 | Telemed And Health 3031 W Horizon Ridge Pkwy Ste 120 Henderson NV 89052-3809 Ph: (702) 614-4476 |
NPI Number | 1457542961 |
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Provider Enumeration Date | 08/08/2007 |
Last Update Date | 03/31/2020 |
Medicare PECOS PAC ID | 0042340960 |
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Medicare Enrollment ID | O20100618000619 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457542961 | NPI | - | NPPES |
002002422 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 8291 (Nevada) | Primary |
Provider Name | Monica J Wall |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942307855 PECOS PAC ID: 1153451083 Enrollment ID: I20100618000735 |
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