| Quality Health Center, Llc | |
|
501 S Rancho Dr Ste F38 Las Vegas NV 89106-4834 | |
| (702) 992-3439 | |
| Not Available |
| Full Name | Quality Health Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 501 S Rancho Dr Ste F38, Las Vegas, Nevada |
| Authorized Official Name and Position | Tatiana Johnson (DIRECTOR) |
| Authorized Official Contact | 7029923439 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Health Center, Llc 501 S Rancho Dr Ste F38 Las Vegas NV 89106-4834 Ph: (702) 992-3439 | Quality Health Center, Llc 501 S Rancho Dr Ste F38 Las Vegas NV 89106-4834 Ph: (702) 992-3439 |
| NPI Number | 1184247496 |
|---|---|
| Provider Enumeration Date | 05/20/2020 |
| Last Update Date | 02/06/2023 |
| Medicare PECOS PAC ID | 5092113753 |
|---|---|
| Medicare Enrollment ID | O20211011000492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184247496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Bernard K Addo Quaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922009208 PECOS PAC ID: 2860470036 Enrollment ID: I20060206000797 |
| Provider Name | Candice J Shigemoto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396094306 PECOS PAC ID: 8820430432 Enrollment ID: I20240529000759 |
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