MEDICARE: CHEROKEE MEDICAL SERVICES

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	286500000X	Military Hospital

General Provider Information

NPI Number	:	1376893800
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHEROKEE MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	4233 FORNAX CT
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-0736
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4233 FORNAX CT
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-0736
Country	:	US
Telephone Number	:	575-693-3107
Fax Number	:

Authorized Official
Title or Position	:	NOT SURE
Name	:	ERICA TOMAINO
Credential	:
Telephone Number	:	210-564-6600

Provider Enumeration Date	:	09/12/2012
Last Update Date	:	09/12/2012

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Directions to “CHEROKEE MEDICAL SERVICES ” Practice Location

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