Las Vegas Kidney Clinic Inc.

LBN: Las Vegas Kidney Clinic Inc.
Las Vegas Kidney Clinic Inc. is an health care organization with primary practice located at 1905 Civic Center Dr Ste 201, North Las Vegas NV 89030-7116. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Las Vegas Kidney Clinic Inc. can be contacted via phone (702) 214-9516, or through Bennett, Galen Robert via phone (702) 214-9516.

Contact Information

Primary practice address
1905 Civic Center Dr Ste 201 North Las Vegas NV 89030-7116
Phone: (702) 214-9516
Fax: (702) 214-9415
Website:
Map and Directions
Authorized official contact:
Name: Bennett, Galen Robert BSBA
Phone: (702) 214-9516

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 3221ESR3 Nevada

Profile Details

NPI number 1245234145
LBN Legal business name Las Vegas Kidney Clinic Inc.
DBA Doing business as
Authorized official Bennett, Galen Robert BSBA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2005
Last updated Jun 6th, 2008 - about 16 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 1245234145 NPPES
Nevada MEDICAID 100501915

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