NPI 1548579022

St Clare Medical Services INC

Organisation Preferred Provider Organization Las Vegas, NV

Practice location

Address: 2525 W Charleston Blvd Suite 100, Las Vegas, NV 89102-2127
Phone: (702) 878-2801
Fax: (702) 878-3050
Mailing address: 7582 Las Vegas Blvd S Suite 489, Las Vegas, NV 89123-1009

Authorised official

Name: Kimberly Phan
Title: Billing Coordinator
Phone: (702) 808-4741

Registered specialties (2)

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence NV9215 (NV)

Other Preferred Provider Organization providers in Nevada →

Health Maintenance Organization

Managed Care Organizations Taxonomy 302R00000X Licence NV9215 (NV)

Other Health Maintenance Organization providers in Nevada →

Registry record

NPI: 1548579022
Entity type: Organization
NPI issued: 30 Sep 2010
Record last updated: 11 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.