Ultimate 'u' Medical , Inc | |
2651 N Green Valley Pkwy Henderson NV 89014-0266 | |
(702) 353-9777 | |
(702) 776-7464 |
Full Name | Ultimate 'u' Medical , Inc |
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Speciality | General Practice |
Location | 2651 N Green Valley Pkwy, Henderson, Nevada |
Authorized Official Name and Position | Kathleen D Smith (OWNER) |
Authorized Official Contact | 7023539777 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ultimate 'u' Medical , Inc 2651 N Green Valley Pkwy Ste 103 Henderson NV 89014-0234 Ph: (702) 353-9777 | Ultimate 'u' Medical , Inc 2651 N Green Valley Pkwy Henderson NV 89014-0266 Ph: (702) 353-9777 |
NPI Number | 1154719615 |
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Provider Enumeration Date | 01/06/2015 |
Last Update Date | 09/11/2020 |
Medicare PECOS PAC ID | 7517281280 |
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Medicare Enrollment ID | O20150129000682 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154719615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Kathleen Smith |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447394085 PECOS PAC ID: 8527952423 Enrollment ID: I20090527000069 |
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