Healthcare Provider Details

I. General information

NPI: 1982493458
Provider Name (Legal Business Name): HEALTH HUB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8480 S EASTERN AVE STE D
LAS VEGAS NV
89123-2822
US

IV. Provider business mailing address

8020 S RAINBOW BLVD # 100-430
LAS VEGAS NV
89139-6483
US

V. Phone/Fax

Practice location:
  • Phone: 702-344-4948
  • Fax: 702-549-8090
Mailing address:
  • Phone: 702-344-4948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW SCOTT
Title or Position: AUTHORIZEDD OFFICIAL
Credential:
Phone: 702-580-7197