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NPI Code Detail

MEDICARE: THE GATEWAY CENTER LAS VEGAS

MEDICARE: THE GATEWAY CENTER LAS VEGAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/CenterNV

General Provider Information

NPI Number : 1215330014
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE GATEWAY CENTER LAS VEGAS
Provider Business Mailing Address
First Line : 74 NORTH PECOS
Second Line : SUITE C
City : HENDERSON
State : NV
Zip : 89074-7344
Country : US
Telephone Number : 702-778-4500
Fax Number : 702-778-3500
Provider Business Practice Location Address
First Line : 74 NORTH PECOS
Second Line : SUITE C
City : HENDERSON
State : NV
Zip : 89074-7344
Country : US
Telephone Number : 702-778-4500
Fax Number : 702-778-3500
Authorized Official
Title or Position : OWNER/HR
Name : MEREDITH STILL
Credential : OWNER
Telephone Number : 702-778-4500
Provider Enumeration Date : 10/07/2014
Last Update Date : 07/21/2022

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Directions to “THE GATEWAY CENTER LAS VEGAS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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