BLUE 42 INC NPI 1902500028

NPI Information

  • NPI: 1902500028
  • Provider Name: BLUE 42 INC
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • Address: 1230 W OWENS AVE STE 1
    LAS VEGAS, NV
    ZIP 89106
  • Phone: (775) 538-5104

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NPI Details

BLUE 42 INC is a community health clinic center in Las Vegas, NV. BLUE 42 INC NPI is 1902500028. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1230 W OWENS AVE STE 1
LAS VEGAS, NV
ZIP 89106-451
Phone: (775) 538-5104

The provider's authorized official is Jshauntae Marshall .
The authorized official title is Director and has the following contact phone number (775) 538-5104.

The enumeration date for this NPI number is 3/30/2023 and was last updated on 6/23/2024.

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
1101YM0800XCounselorMental HealthNo
2174N00000XLactation Consultant, Non-RNNo
3251B00000XCase ManagementNo
4261QB0400XClinic/CenterBirthingNo
5261QC1500XClinic/CenterCommunity HealthYes
6261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
7374J00000XDoulaNo

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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