SOUTHERN NEVADA HEALTH DISTRICT (NPI# 1932745668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932745668 |
| Entity Type | Organization |
| Organization Name | SOUTHERN NEVADA HEALTH DISTRICT |
| Other Organization Name | SOUTHERN NEVADA COMMUNITY HEALTH CENTER |
| Practice Address |
280 S Decatur Blvd Las Vegas NV 89107-2936 |
| Practice Telephone | 7027591686 |
| Mailing Telephone | 7027591686 |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2020-05-12 |
| Authorized Official Name | CANDIST WILSON (RCM) |
| Authorized Official Telephone | 7027591238 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1275550212 | 05 |
| Other Name | Type Code |
|---|---|
| Southern Nevada Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215315973 | Southern Nevada Health District | Clinical Medical Laboratory | 700 S Martin Luther King Blvd, Las Vegas, NV 89106-4409 | 2015-05-14 |
| 1275550212 | Southern Nevada Health District | Clinic/Center | 330 S Valley View Blvd, Las Vegas, NV 89107-4361 | 2006-07-16 |
| 1053863605 | Southern Nevada Health District | Pharmacy | 280 S Decatur Blvd, Las Vegas, NV 89107-2936 | 2016-10-31 |
| 1174945232 | Southern Nevada Health District | Public Health or Welfare | 400 Shadow Ln, Las Vegas, NV 89106-4363 | 2014-01-09 |
| 1316368673 | Southern Nevada Health District | Case Management | 400 Shadow Ln, Ste 208, Las Vegas, NV 89106-4363 | 2014-01-03 |
| Street Address |
280 S DECATUR BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89107-2936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740330711 | Fermin Leguen | Internal Medicine | 280 S Decatur Blvd, Las Vegas, NV 89107 | 2007-01-11 |
| 1578171500 | Catherine Lopez Dominguez | Dietitian, Registered | 280 S Decatur Blvd, Las Vegas, NV 89107-2936 | 2020-07-15 |
| 1780234328 | Adrienne Alana Davis | Nurse Practitioner | 280 S Decatur Blvd, Las Vegas, NV 89107-2936 | 2019-09-16 |
| 1902360159 | Racquel Dyguazo Tolzmann | Family Medicine | 280 S Decatur Blvd, Las Vegas, NV 89107-2936 | 2019-01-22 |
| 1023589504 | Zhulieta Krasimirova Gospodinova | Physician Assistant | 280 S Decatur Blvd, Las Vegas, NV 89107 | 2018-12-10 |
| 1164993655 | Rosanna Ardel Woods | Registered Nurse | 280 S Decatur Blvd, Las Vegas, NV 89107-2936 | 2018-12-10 |
| 1548731003 | Karin Dinda | Registered Nurse | 280 S Decatur Blvd, Las Vegas, NV 89107-2936 | 2018-12-10 |
| 1992208581 | Cassandra Sue Adler | Nurse Practitioner | 280 S Decatur Blvd, Las Vegas, NV 89107-2936 | 2018-03-09 |
| 1053863605 | Southern Nevada Health District | Pharmacy | 280 S Decatur Blvd, Las Vegas, NV 89107-2936 | 2016-10-31 |
| 1841649738 | Southern Nevada Health District Clinical Laboratory | Clinical Medical Laboratory | 280 S Decatur Blvd, Las Vegas, NV 89107-2936 | 2016-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837620 | Dominica Marie Lemay | Technician | Ideal Staffing Inc 500 N Rainbow Blvd Ste 300 Las Vegas, Las Vegas, NV 89107 | 2020-03-24 |
| 1417589854 | Ciro Zuniga | Technician | 5020 Alta Dr Suit-b, Las Vegas, NV 89107 | 2020-02-04 |
| 1730729252 | Natalie Rochelle Ross | Technician | Ideal Staffing Inc N Rainbow Blvd Ste 300 Las Vegas, Nv, Las Vegas, NV 89107 | 2020-01-13 |
| 1679112148 | Cynthia Mayen | Technician | 2050 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2020-01-02 |
| 1427695543 | Aaa Physical Therapy LLC | Clinic/Center | 633 N. Decatur Blvd., Suite E, Las Vegas, NV 89107 | 2019-12-09 |
| 1063061018 | Guaoalupe Pena | Technician | 5020 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2019-09-11 |
| 1275180234 | Roman Bautista Ortiz | Technician | 5020 Alta Dr. Suit-b, Las Vegas, NV 89107 | 2019-08-23 |
| 1518513357 | Michele Renee Black | Chore Provider | 500 North Rainbow Boulevard, Suite 300, Las Vegas, NV 89107 | 2019-08-16 |
| 1124674312 | Helena Alma Ferron-zepeda | Technician | 5020 Alta Dr., Suite-b, Las Vegas, NV 89107 | 2019-08-13 |
| 1386299246 | Felecia Ann Goodwin | Technician | 500 N Rainbow Blvd Ste 300, Ideal Staffing Inc, Las Vegas, NV 89107 | 2019-08-07 |
| Find all providers in zip 89107 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801357108 | All for Health Health for All Inc | Clinic/Center | 7477 W Lake Mead Blvd Ste 106, Las Vegas, NV 89128-0374 | 2019-03-28 |
| 1073078788 | Silver State Health Services | Clinic/Center | 200 Foremaster Ln, Las Vegas, NV 89101-1008 | 2019-02-06 |
| 1356806061 | Silver State Health Services | Clinic/Center | 2215c Renaissance Dr, Las Vegas, NV 89119-6729 | 2019-02-06 |
| 1598202913 | Silver State Health Services | Clinic/Center | 2965 S Jones Blvd Ste C, Las Vegas, NV 89146-5606 | 2017-01-23 |
| 1912127630 | El Centro Family Health | Clinic/Center | 901 Baca, Las Vegas, NM 87701-2627 | 2007-04-26 |
| 1417075375 | Nevada Health Centers Inc | Clinic/Center | 403 W Wilson, Las Vegas, NV 89106 | 2007-03-27 |
| 1447378310 | Nevada Health Centers Inc | Clinic/Center | 2800 Stewart Ave, Las Vegas, NV 89101-4722 | 2007-03-27 |
| 1962520239 | Nevada Health Centers Inc | Clinic/Center | 2839 Burnham Ave, Las Vegas, NV 89169-1793 | 2007-03-26 |
| 1730113465 | Nevada Health Centers Inc | Clinic/Center | 310 9th St, Ste 110, Las Vegas, NV 89101 | 2006-07-10 |
| 1063039469 | Mission City Community Network, Inc. | Clinic/Center | 3220 N Bronco St, Las Vegas, NV 89108-4862 | 2020-07-01 |
| 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.