Organization
SAFE HARBOR MEDICAL, INC.
Active
Parent organization
SAFE HARBOR MEDICAL, INC.
Other names
SAFE HARBOR MEDICAL-TRAC B
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAFE HARBOR MEDICAL, INC.
Authorized official
TINA A ALICEA (CEO)
(702) 870-8852
Entity
Organization
Contact information
Practice address
6114 W CHARLESTON BLVD, LAS VEGAS, NV 89146-1127
(702) 870-8852
(702) 870-8914
Mailing address
2901 N TENAYA WAY STE 100, LAS VEGAS, NV 89128-1404
(702) 870-8852
(702) 870-8914
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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