| Southern Nevada Community Health Center | |
|
280 S Decatur Blvd Las Vegas NV 89107-2936 | |
| (702) 759-1686 | |
| Not Available |
| Full Name | Southern Nevada Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 280 S Decatur Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Donna Buss (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 7027590636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Nevada Community Health Center 280 S Decatur Blvd Las Vegas NV 89107-2936 Ph: (702) 759-1686 | Southern Nevada Community Health Center 280 S Decatur Blvd Las Vegas NV 89107-2936 Ph: (702) 759-1686 |
| NPI Number | 1932745668 |
|---|---|
| Provider Enumeration Date | 11/18/2019 |
| Last Update Date | 10/01/2021 |
| Medicare PECOS PAC ID | 3375542939 |
|---|---|
| Medicare Enrollment ID | O20191223001358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932745668 | NPI | - | NPPES |
| 1275550212 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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