Healthcare Provider Details

I. General information

NPI: 1275550212
Provider Name (Legal Business Name): SOUTHERN NEVADA HEALTH DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 S DECATUR BLVD
LAS VEGAS NV
89107-2936
US

IV. Provider business mailing address

PO BOX 3902
LAS VEGAS NV
89127-3902
US

V. Phone/Fax

Practice location:
  • Phone: 702-759-1000
  • Fax:
Mailing address:
  • Phone: 702-759-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CASSIUS LOCKETT
Title or Position: DISTRICT HEALTH OFFICER
Credential:
Phone: 702-759-1691