PREMISE HEALTH OF NEVADA MEDICAL HINITT P C is a non pharmacy dispensing site in Stateline, NV. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) PREMISE HEALTH OF NEVADA MEDICAL HINITT P C NPI is 1306333604. The provider is registered as an organization entity type.
The provider Is Doing Business As Caesars Lake Tahoe Health & Wellness Center.
The provider's business location address is:
15 HIGHWAY 50
STATELINE, NV
ZIP 89449
Phone: (775) 586-5000
Fax: (775) 586-5055
The provider's authorized official is Steven A Hinitt .
The authorized official title is President and has the following contact phone number (615) 468-6248.
The CLIA number assigned to this NPI record is 29D1050891 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/23/2018 and was last updated on 4/1/2019.