NEVADA HEALTH CENTERS INC NPI 1073688198

NPI Information

NPI: 1073688198
Provider Name: NEVADA HEALTH CENTERS INC

Doing Business As: CAMBRIDGE FAMILY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3900 CAMBRIDGE ST
SUITE 102
LAS VEGAS, NV
ZIP 89119
Phone: (702) 307-5415
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NEVADA HEALTH CENTERS INC is a federally qualified health center (fqhc) clinic center in Las Vegas, NV. NEVADA HEALTH CENTERS INC NPI is 1073688198. The provider is registered as an organization entity type.
The provider Is Doing Business As Cambridge Family Health Center.

The provider's business location address is:

3900 CAMBRIDGE ST
SUITE 102
LAS VEGAS, NV
ZIP 89119-439
Phone: (702) 307-5415
Fax: (702) 307-5416

The provider's authorized official is Walter B Davis .
The authorized official title is Ceo and has the following contact phone number (775) 888-6610.

The CLIA number assigned to this NPI record is 29D0999815 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DQ468A	OTHER	NEVADA	MEDICARE ID - TYPE UNSPECIFIED
2	1073688198	MEDICAID	NEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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