Organization
PREMISE HEALTH OF NEVADA MEDICAL HINITT P C
Active
Organization
PREMISE HEALTH OF NEVADA MEDICAL HINITT P C
Active
Other names
Caesars Lake Tahoe Health & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN A HINITT MD (PRESIDENT)
(615) 468-6248
Entity
Organization
Contact information
Practice address
15 HIGHWAY 50, STATELINE, NV 89449
(775) 586-5000
(775) 586-5055
Mailing address
5500 MARYLAND WAY STE 400, BRENTWOOD, TN 37027-7048
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
PD00694
NV
Other
Enumeration date
04/23/2018
Last updated
04/01/2019
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