Healthcare Provider Details

I. General information

NPI: 1033361407
Provider Name (Legal Business Name): SIERRA HEALTH AND LIFE INSURANCE CO.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2008
Last Update Date: 10/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2716 N TENAYA WAY
LAS VEGAS NV
89128-0424
US

IV. Provider business mailing address

PO BOX 15645
LAS VEGAS NV
89114-5645
US

V. Phone/Fax

Practice location:
  • Phone: 702-838-8285
  • Fax: 702-304-7435
Mailing address:
  • Phone: 702-838-8285
  • Fax: 702-304-7435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: MISS ADRIANA L GUTIERREZ
Title or Position: MANAGER
Credential:
Phone: 702-838-8285