MEDICARE: HMC MEDICAL CENTER, LLC

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	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1194754358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HMC MEDICAL CENTER, LLC

Provider Business Mailing Address
First Line	:	150 E HARMON AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-4533
Country	:	US
Telephone Number	:	702-796-1116
Fax Number	:	702-692-4740

Provider Business Practice Location Address
First Line	:	150 E HARMON AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-4533
Country	:	US
Telephone Number	:	702-796-1116
Fax Number	:	702-692-4740

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. RHONDA HAWKINS
Credential	:
Telephone Number	:	702-796-1116

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	08/22/2020

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