# ANTHEM ASC INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1811168933
- **Authorized official:** DR. JAMES DANIEL CARPENTER D.O. (MEDICAL DIRECTOR)
- **Authorized official phone:** (702) 642-7711

## Contact information

- **Practice address:** 2517 E LAKE MEAD BLVD, NORTH LAS VEGAS, NV 89030-6410
- **Practice address phone:** (702) 642-7711
- **Practice address fax:** (702) 642-8822
- **Mailing address:** 2505 ANTHEM VILLAGE DRIVE E-594, HENDERSON, NV 89052
- **Mailing address phone:** (702) 642-7711
- **Mailing address fax:** (702) 642-8822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NV | Yes |

## Other

- **Enumeration date:** 03/17/2008
- **Last updated:** 03/17/2008