LAS VEGAS KIDNEY CLINIC INC. NPI 1245234145

NPI Information

  • NPI: 1245234145
  • Provider Name: LAS VEGAS KIDNEY CLINIC INC.
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 1905 CIVIC CENTER DR
    STE 201
    NORTH LAS VEGAS, NV
    ZIP 89030
  • Phone: (702) 214-9516

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NPI Details

LAS VEGAS KIDNEY CLINIC INC. is a medical specialty clinic center in North Las Vegas, NV. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). LAS VEGAS KIDNEY CLINIC INC. NPI is 1245234145. The provider is registered as an organization entity type.

The provider's business location address is:

1905 CIVIC CENTER DR
STE 201
NORTH LAS VEGAS, NV
ZIP 89030-116
Phone: (702) 214-9516
Fax: (702) 214-9415

The provider's authorized official is Galen Robert Bennett .
The authorized official title is Administrator and has the following contact phone number (702) 214-9516.

The enumeration date for this NPI number is 6/8/2005 and was last updated on 6/6/2008.

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
1261QM2500XClinic/CenterMedical Specialty3221ESR3NEVADAYes

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
1292519MEDICARE OSCAR/CERTIFICATIONNEVADA
2100501915MEDICAIDNEVADA

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: 3/30/2025

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