| North Las Vegas Family Health Center | |
|
2225 Civic Center Dr Suite 224 North Las Vegas NV 89030-6328 | |
| (702) 214-5948 | |
| (702) 214-9439 |
| Full Name | North Las Vegas Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2225 Civic Center Dr, North Las Vegas, Nevada |
| Authorized Official Name and Position | Walter B Davis (CEO) |
| Authorized Official Contact | 7758886610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Las Vegas Family Health Center 3325 Research Way Carson City NV 89706-7913 Ph: (775) 888-6610 | North Las Vegas Family Health Center 2225 Civic Center Dr Suite 224 North Las Vegas NV 89030-6328 Ph: (702) 214-5948 |
| NPI Number | 1497820500 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7113835307 |
|---|---|
| Medicare Enrollment ID | O20050520000622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497820500 | NPI | - | NPPES |
| 1497820500 | Medicaid | NV | |
| DQ468A | Other | NV | MEDICARE ID - TYPE UNSPECIFIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Nevada) | Primary |
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