MEDICARE: SIGNAL HEALTH GROUP INC

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
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1497305247
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIGNAL HEALTH GROUP INC

Provider Business Mailing Address
First Line	:	PO BOX 15127
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89114-5127
Country	:	US
Telephone Number	:	702-843-0579
Fax Number	:

Provider Business Practice Location Address
First Line	:	3753 HOWARD HUGHES PKWY # 200-216
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-0938
Country	:	US
Telephone Number	:	702-843-0579
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HAHN H MARCH
Credential	:
Telephone Number	:	765-238-1381

Provider Enumeration Date	:	09/13/2019
Last Update Date	:	10/26/2021

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Directions to “SIGNAL HEALTH GROUP INC ” Practice Location

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