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NPI 1215476056

NPI 1215476056 : SILVERSUMMIT HEALTHPLAN, INC. : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1215476056
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    Entity Type          |    Organization 
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    Legal Business Name  |    SILVERSUMMIT HEALTHPLAN, INC. 
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Dates
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    Enumeration Date     |    02/13/2017
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    Last Update Date     |    08/14/2025
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Provider Practice Location Address
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    Address Line         |    2500 N BUFFALO DR STE 230 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89128-7856
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    Country              |    US
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    Telephone            |    844-366-2880
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2500 N BUFFALO DR STE 230 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89128-7856
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    Country              |    US
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    Telephone            |    844-366-2880
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PLAN PRESIDENT & CEO
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    Name                 |     ERIC  SCHMACKER 
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    Credential           |    
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    Telephone            |    844-366-2880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    302R00000X
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    Taxonomy Name        |    Health Maintenance Organization
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    License Number       |    
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    License Number State |    
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