MEDICARE: HEALTHCARE PARTNERS MEDICAL GROUP (COATS), LTD.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	2083X0100X	Occupational Medicine Physician
2	363AM0700X	Medical Physician Assistant
3	363LP2300X	Primary Care Nurse Practitioner
4	207Q00000X	Family Medicine Physician
5	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1407173750
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE PARTNERS MEDICAL GROUP (COATS), LTD.

Provider Business Mailing Address
First Line	:	PO BOX 98978
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89193-8978
Country	:	US
Telephone Number	:	702-216-3346
Fax Number	:

Provider Business Practice Location Address
First Line	:	1341 S RAINBOW BLVD
Second Line	:	#101
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-9069
Country	:	US
Telephone Number	:	702-255-4200
Fax Number	:	702-255-0260

Authorized Official
Title or Position	:	PRESIDENT
Name	:	H BARD COATS
Credential	:
Telephone Number	:	702-216-3346

Provider Enumeration Date	:	04/27/2010
Last Update Date	:	03/23/2021

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