COMPREHENSIVE MEDICAL CENTER NPI 1174503429

NPI Information

  • NPI: 1174503429
  • Provider Name: COMPREHENSIVE MEDICAL CENTER
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: PRO BONO HUMANI LLC
  • Address: 98 E LAKE MEAD PKWY
    # 301
    HENDERSON, NV
    ZIP 89015
  • Phone: (702) 577-0543

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NPI Details

COMPREHENSIVE MEDICAL CENTER is a family medicine in Henderson, NV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COMPREHENSIVE MEDICAL CENTER NPI is 1174503429. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pro Bono Humani Llc.

The provider's business location address is:

98 E LAKE MEAD PKWY
# 301
HENDERSON, NV
ZIP 89015
Phone: (702) 577-0543
Fax: (515) 583-4374

The provider's authorized official is David Rivas .
The authorized official title is Cmo and has the following contact phone number (702) 526-5078.

The enumeration date for this NPI number is 1/20/2006 and was last updated on 4/22/2008.

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
1208D00000XGeneral Practice0926NEVADANo
2207Q00000XFamily Medicine0926NEVADAYes

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
1G69611MEDICARE UPIN
2V102198MEDICARE PINNEVADA
3002018927MEDICAIDNEVADA

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: 11/21/2025

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