MEDICARE: HOPE CHRISTIAN HEALTH CENTER CORP

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
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1629595889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE CHRISTIAN HEALTH CENTER CORP

Provider Business Mailing Address
First Line	:	4040 N MARTIN L KING BLVD STE A
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-3205
Country	:	US
Telephone Number	:	702-644-4673
Fax Number	:	702-902-5443

Provider Business Practice Location Address
First Line	:	4040 N MARTIN LUTHER KING BLVD
Second Line	:	SUITE A
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032
Country	:	US
Telephone Number	:	702-644-4673
Fax Number	:	702-909-5143

Authorized Official
Title or Position	:	REVENUE CYCLE MANAGER
Name	:	CELINA SALAS
Credential	:
Telephone Number	:	702-644-4673

Provider Enumeration Date	:	08/28/2017
Last Update Date	:	01/27/2026

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