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NPI Code Detail

MEDICARE: CLARK COUNTY SCHOOL DISTRICT

MEDICARE: CLARK COUNTY SCHOOL DISTRICT
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
1251300000XLocal Education Agency (LEA)006002999NV

Other Identifiers

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

General Provider Information

NPI Number : 1376628990
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLARK COUNTY SCHOOL DISTRICT
Provider Business Mailing Address
First Line : 2832 E FLAMINGO RD
Second Line : LOC - 655
City : LAS VEGAS
State : NV
Zip : 89121-5205
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2832 E FLAMINGO RD
Second Line : LOC - 655
City : LAS VEGAS
State : NV
Zip : 89121-5205
Country : US
Telephone Number : 702-799-5385
Fax Number : 702-799-0202
Authorized Official
Title or Position : ADMINISTRATOR
Name : STEPHANIE POCCHIA
Credential :
Telephone Number : 702-799-5385
Provider Enumeration Date : 10/25/2006
Last Update Date : 06/25/2010

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Directions to “CLARK COUNTY SCHOOL DISTRICT ” Practice Location

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