MEDICARE: FORT APACHE MEDICAL CENTER

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	207Q00000X	Family Medicine Physician	754266	NV

General Provider Information

NPI Number	:	1376736934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORT APACHE MEDICAL CENTER

Provider Business Mailing Address
First Line	:	6061 S FORT APACHE RD
Second Line	:	SUITE 120
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5540
Country	:	US
Telephone Number	:	702-736-0049
Fax Number	:	702-736-0095

Provider Business Practice Location Address
First Line	:	6061 S FORT APACHE RD
Second Line	:	SUITE 120
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5540
Country	:	US
Telephone Number	:	702-736-0049
Fax Number	:	702-736-0095

Authorized Official
Title or Position	:	OWNER
Name	:	MS. ANUSH DAVTYAN
Credential	:
Telephone Number	:	702-736-0049

Provider Enumeration Date	:	08/27/2007
Last Update Date	:	08/27/2007

Similar Medicare Providers

1205975356 — SILVER TOWN INCORPORATED
Practice Location Address:

5540 SPRING MOUNTAIN RD
LAS VEGAS, NV
89146-8809

Practice Phone: 702-365-8882
Practice Fax: 702-365-0680

1285123851 — HERRERA FAMILY DENTAL, PLLC
Practice Location Address:

1300 S LAMB BLVD STE 400
LAS VEGAS, NV
89104-5540

Practice Phone: 702-780-7660
Practice Fax: 702-780-7669

1760952402 — SILVER TOWN INCORPORATED
Practice Location Address:

5540 SPRING MOUNTAIN RD
LAS VEGAS, NV
89146-8809

Practice Phone: 702-365-8882
Practice Fax: 702-365-0680

1093335598 — ALYSSA MIYUKI ARIYOSHI DMD
Practice Location Address:

1300 S LAMB BLVD STE 400
LAS VEGAS, NV
89104-5540

Practice Phone: 702-780-7660
Practice Fax:

1922612589 — JANAE PRESTON
Practice Location Address:

5540 W HARMON AVE APT 1005
LAS VEGAS, NV
89103-5123

Practice Phone: 984-364-0076
Practice Fax:

1528755659 — LENIA GARCIA GOMEZ
Practice Location Address:

5540 W HARMON AVE APT 2055
LAS VEGAS, NV
89103-5130

Practice Phone: 702-793-0534
Practice Fax:

Directions to “FORT APACHE MEDICAL CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.