Community Outreach Medical Center

LBN: Community Outreach Medical Center
Community Outreach Medical Center is an health care organization with primary practice located at 1090 E Desert Inn Rd Ste 200 , Las Vegas NV 89109-2803. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Community Outreach Medical Center can be contacted via phone (702) 657-3873, or through Ogden, Kema via phone (702) 657-3873.

Contact Information

Primary practice address
1090 E Desert Inn Rd Ste 200 Las Vegas NV 89109-2803
Fax: (702) 636-0787
Website:
Authorized official contact:
Name: Ogden, Kema

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X 8907 Nevada

Profile Details

NPI number 1073721361
LBN Legal business name Community Outreach Medical Center
DBA Doing business as
Authorized official Ogden, Kema
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2007
Last updated Mar 29th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073721361 NPPES
Nevada MEDICAID 002018167

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