Ccm Medical Services

LBN: Mullissa Childress Ccm Medical Services Llc
Ccm Medical Services is an health care organization with primary practice located at 222 S Rainbow Blvd Ste 115 , Las Vegas NV 89145-5126. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Mullissa Childress Ccm Medical Services Llc can be contacted via phone (702) 406-4125, or through Childress, Mullissa Michelle via phone (702) 406-4125.

Contact Information

Primary practice address
222 S Rainbow Blvd Ste 115 Las Vegas NV 89145-5126
Phone: (702) 406-4125
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Childress, Mullissa Michelle Advanced Practice Registered Nurse (APRN)
Phone: (702) 406-4125

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1073033528
LBN Legal business name Mullissa Childress Ccm Medical Services Llc
DBA Doing business as Ccm Medical Services
Authorized official Childress, Mullissa Michelle Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2017
Last updated May 13th, 2024 - about 7 months 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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