MEDICARE: HEALTHCARE PARTNERS MEDICAL GROUP (COATS) LTD.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	207N00000X	Dermatology Physician	NV
2	207RC0000X	Cardiovascular Disease Physician	NV
3	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	NV
4	213ES0103X	Foot & Ankle Surgery Podiatrist	NV
5	207R00000X	Internal Medicine Physician	NV

Other Identifiers

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

General Provider Information

NPI Number	:	1306274626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE PARTNERS MEDICAL GROUP (COATS) LTD.

Provider Business Mailing Address
First Line	:	PO BOX 98978
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89193-8978
Country	:	US
Telephone Number	:	702-216-3346
Fax Number	:	702-671-6883

Provider Business Practice Location Address
First Line	:	1151 S HIGHWAY 160
Second Line	:
City	:	PAHRUMP
State	:	NV
Zip	:	89048-4700
Country	:	US
Telephone Number	:	775-751-7859
Fax Number	:	775-751-7860

Authorized Official
Title or Position	:	PRESIDENT
Name	:	H BARD COATS
Credential	:
Telephone Number	:	702-216-3346

Provider Enumeration Date	:	10/23/2013
Last Update Date	:	03/23/2021

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