Choice Family Medical Clinic Llc
LBN: Choice Family Medical Clinic Llc
Choice Family Medical Clinic Llc is an health care organization with primary practice located at 4185 Vegas Valley Dr Ste C , Las Vegas NV 89121-2522. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Choice Family Medical Clinic Llc can be contacted via phone (702) 463-9066, or through Warren Tatum, Letaniya via phone (702) 680-0600.
Contact Information
Primary practice address
4185 Vegas Valley Dr Ste C
Las Vegas NV 89121-2522
Phone: (702) 463-9066
Fax: (702) 463-9067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X |
Profile Details
| NPI number | 1538778634 |
|---|---|
| LBN Legal business name | Choice Family Medical Clinic Llc |
| DBA Doing business as | |
| Authorized official | Warren Tatum, Letaniya |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 24th, 2020 |
| Last updated | Apr 6th, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538778634 | NPPES |
| Nevada | MEDICAID | 2500010169 | |
| Nevada | Other | NV20201837431 |
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