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CENTERWELL SENIOR PRIMARY CARE (NV) PC NPI 1154944544


NPI Information

NPI: 1154944544
Provider Name: CENTERWELL SENIOR PRIMARY CARE (NV) PC

Former Legal Business Name: PARTNERS IN PRIMARY CARE NV PC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 29D2219025

Address:
390 W LAKE MEAD PKWY STE 120
HENDERSON, NV
ZIP 89015
Phone: (725) 220-8477
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CENTERWELL SENIOR PRIMARY CARE (NV) PC is an internal medicine in Henderson, NV. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CENTERWELL SENIOR PRIMARY CARE (NV) PC NPI is 1154944544. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Partners In Primary Care Nv Pc.

The provider's business location address is:

390 W LAKE MEAD PKWY STE 120
HENDERSON, NV
ZIP 89015-417
Phone: (725) 220-8477
Fax: (833) 749-0360

The provider's authorized official is Angie Martinez .
The authorized official title is Senior Credentialing Professional and has the following contact phone number (407) 447-7120.

The CLIA number assigned to this NPI record is 29D2219025 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2020 and was last updated on 2/15/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207RI0011XInternal MedicineInterventional CardiologyNo
3208D00000XGeneral PracticeNo
4207R00000XInternal MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1250009775MEDICAIDNEVADA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.