Healthcare Provider Details

I. General information

NPI: 1104704774
Provider Name (Legal Business Name): SILVERSUMMIT HEALTHPLAN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 08/22/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 N BUFFALO DR STE 230
LAS VEGAS NV
89128-7856
US

IV. Provider business mailing address

2500 N BUFFALO DR STE 230
LAS VEGAS NV
89128-7856
US

V. Phone/Fax

Practice location:
  • Phone: 844-366-2880
  • Fax:
Mailing address:
  • Phone: 844-366-2880
  • Fax:

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: ERIC SCHMACKER
Title or Position: PLAN PRESIDENT & CEO
Credential:
Phone: 844-366-2880