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NPI Code Detail

MEDICARE: SILVER STATE HEALTH SERVICES

MEDICARE: SILVER STATE HEALTH SERVICES
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
1261QF0400XFederally Qualified Health Center (FQHC)NV20141295381NV

General Provider Information

NPI Number : 1598202913
Entity Type Code : Organization
Provider Name (Legal Business Name) : SILVER STATE HEALTH SERVICES
Provider Business Mailing Address
First Line : 2965 S JONES BLVD STE C
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-5606
Country : US
Telephone Number : 702-471-0420
Fax Number : 702-471-0421
Provider Business Practice Location Address
First Line : 2965 S JONES BLVD STE C
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-5606
Country : US
Telephone Number : 702-471-0420
Fax Number : 702-471-0420
Authorized Official
Title or Position : COO
Name : PAULINE MAH
Credential :
Telephone Number : 702-808-5739
Provider Enumeration Date : 01/23/2017
Last Update Date : 03/25/2022

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Directions to “SILVER STATE HEALTH SERVICES ” Practice Location

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