MEDICARE: LIONS HEALTHFIRST FOUNDATION

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	302R00000X	Health Maintenance Organization

General Provider Information

NPI Number	:	1295938900
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIONS HEALTHFIRST FOUNDATION

Provider Business Mailing Address
First Line	:	5040 EDNA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-6805
Country	:	US
Telephone Number	:	702-739-6393
Fax Number	:

Provider Business Practice Location Address
First Line	:	5040 EDNA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-6805
Country	:	US
Telephone Number	:	702-739-6393
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JAMES J BARTEL
Credential	:
Telephone Number	:	702-739-6430

Provider Enumeration Date	:	06/08/2007
Last Update Date	:	08/22/2020

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Directions to “LIONS HEALTHFIRST FOUNDATION ” Practice Location

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