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CHMM PAHRUMP MSO LLC NPI 1417684713


NPI Information

NPI: 1417684713
Provider Name: CHMM PAHRUMP MSO, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
360 S LOLA LN
PAHRUMP, NV
ZIP 89048
Phone: (702) 449-9173
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CHMM PAHRUMP MSO, LLC is a general practice in Pahrump, NV. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CHMM PAHRUMP MSO, LLC NPI is 1417684713. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

360 S LOLA LN
PAHRUMP, NV
ZIP 89048-884
Phone: (702) 449-9173

The provider's authorized official is Tillie Andrade .
The authorized official title is Mso Director and has the following contact phone number (702) 449-9173.

The enumeration date for this NPI number is 8/5/2022 and was last updated on 8/8/2022.


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
1208D00000XGeneral PracticeYes

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: 5/5/2024

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