# OMUC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316648777
- **Authorized official:** MRS. MICHELE WARD (BILLING MANAGER)
- **Authorized official phone:** (702) 302-4569

## Contact information

- **Practice address:** 1501 E CALVADA BLVD, PAHRUMP, NV 89048-5807
- **Practice address phone:** (702) 302-4569
- **Mailing address:** 5010 S DECATUR BLVD STE H, LAS VEGAS, NV 89118-4935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/13/2023
- **Last updated:** 08/29/2023
