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NPI Code Detail

MEDICARE: LAS VEGAS PAIUTE TRIBE CLINIC

MEDICARE: LAS VEGAS PAIUTE TRIBE CLINIC
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
13336C0002XClinic Pharmacy
2332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12050819OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205986528
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAS VEGAS PAIUTE TRIBE CLINIC
Provider Business Mailing Address
First Line : 1257 PAIUTE CIR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-3202
Country : US
Telephone Number : 702-382-0784
Fax Number : 702-366-0999
Provider Business Practice Location Address
First Line : 1257 PAIUTE CIR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-3202
Country : US
Telephone Number : 702-382-0784
Fax Number : 702-366-0999
Authorized Official
Title or Position : PHRM MANG
Name : SHARONA SOLEYMANI
Credential : RPH
Telephone Number : 702-382-0784
Provider Enumeration Date : 01/11/2007
Last Update Date : 09/30/2016

Similar Medicare Providers

1568433217 — MRS. LISA A LEDL APN
Practice Location Address:
1257 PAIUTE CIR
LAS VEGAS, NV
89106-3202
Practice Phone: 702-382-0784
Practice Fax: 702-384-5272
1245203256 — WILLIAM TURNER REEVES MD
Practice Location Address:
1257 PAIUTE CIR
LAS VEGAS, NV
89106-3202
Practice Phone: 702-382-0784
Practice Fax: 702-384-5272
1477600666 — DR. STEVEN W. PETERSON D.M.D.
Practice Location Address:
1257 PAIUTE CIR
LAS VEGAS, NV
89106-3202
Practice Phone: 702-382-0784
Practice Fax: 702-384-5272
1235271263 — NORA C BARRY
Practice Location Address:
1257 PAIUTE CIR
LAS VEGAS, NV
89106-3202
Practice Phone: 702-382-0784
Practice Fax:
1861511271 — LAS VEGAS PAIUTE TRIBE HEALTH & HUMAN SERVICES
Practice Location Address:
1257 PAIUTE CIR
LAS VEGAS, NV
89106-3202
Practice Phone: 702-382-0784
Practice Fax: 702-384-5272
1841498409 — RONALD E TOBLER DDS
Practice Location Address:
1257 PAIUTE CIR
LAS VEGAS, NV
89106-3202
Practice Phone: 702-382-0784
Practice Fax:

Directions to “LAS VEGAS PAIUTE TRIBE CLINIC ” Practice Location

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