MEDICARE: SOUTHERN NEVADA HEALTH DISTRICT

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251K00000X	Public Health or Welfare Agency
2	261QF0050X	Non-Surgical Family Planning Clinic/Center
3	261Q00000X	Clinic/Center
4	261QC1500X	Community Health Clinic/Center

General Provider Information

NPI Number	:	1275550212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHERN NEVADA HEALTH DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 3902
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89127-3902
Country	:	US
Telephone Number	:	702-759-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	280 S DECATUR BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-2936
Country	:	US
Telephone Number	:	702-759-1000
Fax Number	:

Authorized Official
Title or Position	:	DISTRICT HEALTH OFFICER
Name	:	CASSIUS LOCKETT
Credential	:
Telephone Number	:	702-759-1691

Provider Enumeration Date	:	07/16/2006
Last Update Date	:	10/22/2025

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