MEDICARE: NEVADA HEALTH CENTERS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1114751112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEVADA HEALTH CENTERS, INC.

Provider Business Mailing Address
First Line	:	3325 RESEARCH WAY
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89706-7913
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	691 N NELLIS BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-5383
Country	:	US
Telephone Number	:	702-563-4662
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER RELATIONS MANAGER
Name	:	ELIZABETH ESTEVES
Credential	:
Telephone Number	:	702-220-9902

Provider Enumeration Date	:	08/30/2024
Last Update Date	:	10/18/2024

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