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NPI Code Detail

MEDICARE: MEDTRANS

MEDICARE: MEDTRANS
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor
3251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1871915892
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDTRANS
Provider Business Mailing Address
First Line : 5412 BOULDER HWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89122-6039
Country : US
Telephone Number : 702-576-9545
Fax Number :
Provider Business Practice Location Address
First Line : 5412 BOULDER HWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89122-6039
Country : US
Telephone Number : 702-576-9545
Fax Number :
Authorized Official
Title or Position : CREDENTIALING SPECIALIST
Name : FRANCES MALINIS
Credential :
Telephone Number : 702-410-7825
Provider Enumeration Date : 01/10/2014
Last Update Date : 07/31/2019

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Directions to “MEDTRANS ” Practice Location

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