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400 Palo Verde Dr Henderson NV 89015-6028 | |
(702) 636-5400 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 400 Palo Verde Dr, Henderson, Nevada |
Authorized Official Name and Position | Patricia Schroeder (PROVIDER RELATIONS MANAGER) |
Authorized Official Contact | 7758886610 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3325 Research Way Carson City NV 89706-7913 Ph: (775) 888-6610 | 400 Palo Verde Dr Henderson NV 89015-6028 Ph: (702) 636-5400 |
NPI Number | 1811496607 |
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Provider Enumeration Date | 02/07/2018 |
Last Update Date | 04/04/2018 |
Identifier | Type | State | Issuer |
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1811496607 | NPI | - | NPPES |
29D2143403 | Other | NV | CLIA LABORATORY LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 29D2143403 (Nevada) | Primary |
Siena Hills Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2789 Sunridge Heights Pkwy, Suite 100, Henderson, NV 89052 Phone: 702-614-0850 Fax: 702-614-0798 | |
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