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1619687373 NPI number — COMMUNITY HEALTH WORKERS OF NEVADA

NPI Number: 1619687373
Health Care Provider/Practitioner: COMMUNITY HEALTH WORKERS OF NEVADA

Information about “1619687373” NPI (COMMUNITY HEALTH WORKERS OF NEVADA) exists in 1619687373 in HTML format HTML  |  1619687373 in plain Text format TXT  |  1619687373 in PDF (Portable Document Format) PDF  |  1619687373 in an XML format XML  formats.

NPI Number : 1619687373 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619687373",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "COMMUNITY HEALTH WORKERS OF NEVADA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6975 OBANNON DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89117-2121",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "302-223-9514",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6975 OBANNON DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAS VEGAS",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89117-2121",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "302-223-9514",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/02/2022",
    "LastUpdateDate": "03/28/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MILLER-HOOKS",
    "AuthorizedOfficialFirstName": "MAX",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "702-426-2412",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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