NEVADA HEALTH CENTERS INC. NPI 1780831925

NPI Information

NPI: 1780831925
Provider Name: NEVADA HEALTH CENTERS, INC.

Doing Business As: EASTERN FAMILY MEDICAL AND DENTAL CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2212 S EASTERN AVE
LAS VEGAS, NV
ZIP 89104
Phone: (702) 735-9334
Get Directions

NEVADA HEALTH CENTERS, INC. is a federally qualified health center (fqhc) clinic center in Las Vegas, NV. NEVADA HEALTH CENTERS, INC. NPI is 1780831925. The provider is registered as an organization entity type.
The provider Is Doing Business As Eastern Family Medical And Dental Center.

The provider's business location address is:

2212 S EASTERN AVE
LAS VEGAS, NV
ZIP 89104-124
Phone: (702) 735-9334
Fax: (702) 735-9335

The provider's authorized official is Walter B Davis .
The authorized official title is Ceo and has the following contact phone number (775) 888-6610.

The CLIA number assigned to this NPI record is 29D1083829 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2008 and was last updated on 5/7/2015.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	291837	NEVADA	Yes

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
1	291837	MEDICARE OSCAR/CERTIFICATION	NEVADA
2	DQ468A	MEDICARE PIN	NEVADA
3	1780831925	MEDICAID	NEVADA

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

NPI Synchronization or Removal

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