Healthcare Provider Details

I. General information

NPI: 1124401344
Provider Name (Legal Business Name): NEW BEGINNINGS HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2015
Last Update Date: 12/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3675 PECOS MCLEOD SUITE #200
LAS VEGAS NV
89121
US

IV. Provider business mailing address

3675 PECOS MCLEOD SUITE #200
LAS VEGAS NV
89121
US

V. Phone/Fax

Practice location:
  • Phone: 702-538-7412
  • Fax: 702-538-7418
Mailing address:
  • Phone: 702-538-7412
  • Fax: 702-538-7418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GAIL M. ANDERSON
Title or Position: DIRECTOR
Credential: MBA
Phone: 702-538-7412