Organization
SILVER STATE HEALTH SERVICES
Active
Parent organization
SILVER STATE HEALTH SERVICES
Other names
Silver State BH at Renaissance
Organization subpart
Yes
Provider details
NPI number
Legal business name
SILVER STATE HEALTH SERVICES
Authorized official
PAULINE MAH (COO)
(702) 808-5739
Entity
Organization
Contact information
Practice address
1909 S JONES BLVD, LAS VEGAS, NV 89146-1260
(702) 471-0420
(702) 471-0421
Mailing address
2255A RENAISSANCE DR, LAS VEGAS, NV 89119-6194
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
02/08/2019
Last updated
03/31/2022
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