| Nevada Children's Health Project | |
|
1799 Mount Mariah Dr Las Vegas NV 89106-1501 | |
| (800) 787-2568 | |
| (702) 319-6147 |
| Full Name | Nevada Children's Health Project |
|---|---|
| Speciality | Clinic/Center |
| Location | 1799 Mount Mariah Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Patricia Schroeder (PROVIDER RELATIONS MANAGER) |
| Authorized Official Contact | 7758886610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nevada Children's Health Project 3325 Research Way Carson City NV 89706-7913 Ph: (775) 888-6610 | Nevada Children's Health Project 1799 Mount Mariah Dr Las Vegas NV 89106-1501 Ph: (800) 787-2568 |
| NPI Number | 1548756265 |
|---|---|
| Provider Enumeration Date | 07/05/2018 |
| Last Update Date | 07/05/2018 |
| Medicare PECOS PAC ID | 7113835307 |
|---|---|
| Medicare Enrollment ID | O20181019001823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548756265 | NPI | - | NPPES |
| 29D2149943 | Other | NV | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 29D2149943 (Nevada) | Primary |
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