MEDICARE: SIN CITY HEALTH

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103T00000X	Psychologist
2	2084P0800X	Psychiatry Physician
3	251S00000X	Community/Behavioral Health Agency
4	261QP2300X	Primary Care Clinic/Center
5	207RI0200X	Infectious Disease Physician

General Provider Information

NPI Number	:	1659141059
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIN CITY HEALTH

Provider Business Mailing Address
First Line	:	9901 W SAHARA AVE APT 1060
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-6906
Country	:	US
Telephone Number	:	725-221-0864
Fax Number	:

Provider Business Practice Location Address
First Line	:	9901 W SAHARA AVE APT 1060
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-6906
Country	:	US
Telephone Number	:	725-221-0864
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CHAD STOWERS
Credential	:
Telephone Number	:	725-221-0864

Provider Enumeration Date	:	01/05/2024
Last Update Date	:	01/05/2024

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Directions to “SIN CITY HEALTH ” Practice Location

Language	Start Address	Practice Location

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