Eastern Family Medical And Dental Center

LBN: Nevada Health Centers, Inc.
Eastern Family Medical And Dental Center is an health care organization with primary practice located at 2212 S Eastern Ave , Las Vegas NV 89104-4124. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Nevada Health Centers, Inc. can be contacted via phone (702) 735-9334, or through Davis, Walter B via phone (775) 888-6610.

Contact Information

Primary practice address
2212 S Eastern Ave Las Vegas NV 89104-4124
Fax: (702) 735-9335
Website:
Authorized official contact:
Name: Davis, Walter B

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 291837 Nevada

Profile Details

NPI number 1780831925
LBN Legal business name Nevada Health Centers, Inc.
DBA Doing business as Eastern Family Medical And Dental Center
Authorized official Davis, Walter B
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2008
Last updated May 7th, 2015 - about 9 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 1780831925 NPPES
Nevada MEDICAID 1780831925

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