LAS VEGAS STAT CARE INC. (NPI# 1730194499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730194499 |
Entity Type | Organization |
Organization Name | LAS VEGAS STAT CARE INC. |
Practice Address |
260 Mills Ave Las Vegas NM 87701-4125 |
Mailing Address |
Po Box 2545 Las Vegas NM 87701-2545 |
Practice Telephone | 5054256283 |
Practice Fax Number | 5054257196 |
Mailing Telephone | 5054547945 |
Mailing Fax Number | 5054257196 |
Enumeration Date | 2006-07-30 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. M. EILEEN MADRID (BOARD PRESIDENT) |
Authorized Official Telephone | 5054547945 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | NM | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 51932253 | 05 |
Street Address |
260 MILLS AVE |
City | LAS VEGAS |
State | NM |
Zip Code | 87701-4125 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154416584 | Mesa Medical LLC | Nurse Practitioner | 260 Mills Ave, Las Vegas, NM 87701-4125 | 2006-10-03 |
1629084272 | Melquiades Olivares Jr. | General Practice | 260 Mills Ave, Las Vegas, NM 87701-4125 | 2006-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851884423 | Nueva Vida Counseling and Consulting Services LLC | Community/Behavioral Health | Nueva Vida Counseling & Consulting Services LLC, 1920 7th Street, Las Vegas, NM 87701 | 2018-06-08 |
1316475403 | El Centro Family Health | Family Medicine | 475 Legion Dr., Las Vegas, NM 87701 | 2017-06-01 |
1700327384 | Anastacia Sena Jaramillo | Psychologist | 126 Silva Ave., Las Vegas, NM 87701 | 2017-03-15 |
1013369222 | Home Medical Equipment Specialists,llc | Durable Medical Equipment & Medical Supplies | 514 8th Street, Las Vegas, NM 87701 | 2016-07-12 |
1750730826 | John Michael Tourangeau | Social Worker | 1920 7th Street, Las Vegas, NM 87701 | 2016-06-08 |
1154705689 | Lindsy Laura Kragt Allen | Podiatrist | 1608 7th St, Las Vegas, NM 87701 | 2015-07-14 |
1023409521 | Ambercare Medical Supply | Durable Medical Equipment & Medical Supplies | 1747 N Grand Ave, Las Vegas, NM 87701 | 2015-02-05 |
1538561964 | El Centro Family Health | Clinic/Center | 947 Old National Road, Las Vegas, NM 87701 | 2014-09-17 |
1164832150 | Plaza Drugs | Pharmacist | 178 Bridge St, Las Vegas, NM 87701 | 2014-04-30 |
1043648165 | Open Doors Home Health Care | Home Health | 713 Railroad Ave., Las Vegas, NM 87701 | 2013-10-29 |
Find all providers in zip 87701 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1225530553 | Real Time Physicians, LLC | General Practice | 3855 W Diablo Dr Ste 2, Las Vegas, NV 89118-2343 | 2018-03-02 |
1063847317 | Mh Health Care Services, PC | General Practice | 7135 W Sahara Ave Ste 100, C/o Laborers Health Center, Las Vegas, NV 89117-2828 | 2013-09-05 |
1386078582 | Richard F Russell | General Practice | 2221 S Tioga Way, Las Vegas, NV 89117-2735 | 2013-08-25 |
1790125862 | Ihawa | General Practice | 1504 Couples St, Las Vegas, NV 89128-2155 | 2013-07-03 |
1154768620 | Francisco Martinez Villanueva | General Practice | 8652 Grandbank Dr, Las Vegas, NV 89145-4813 | 2013-05-23 |
1588900716 | Dean Grant Peterson | General Practice | 3021 Waterside Cir, Las Vegas, NV 89117-2277 | 2012-12-15 |
1205182292 | Integrated Medical Group Inc | General Practice | 3230 S Buffalo Dr Ste 105, Las Vegas, NV 89117-2506 | 2012-07-27 |
1083970248 | Sebastian Balle | General Practice | 6670 Palmyra Ave, Las Vegas, NV 89146-6539 | 2012-04-02 |
Find all providers in LAS VEGAS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.