Organization
COMMUNITY CARE HEALTH PLAN OF NEVADA, INC.
Active
Other names
Anthem Blue Cross and Blue Shield Healthcare Solutions, AMERIGROUP Nevada, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
LISA J BOGARD (PRESIDENT AND CEO)
(702) 545-9842
Entity
Organization
Contact information
Practice address
9133 WEST RUSSELL ROAD, BUILDING 9, LAS VEGAS, NV 89148-8351
(702) 545-9842
(702) 360-0755
Mailing address
9133 WEST RUSSELL ROAD, BUILDING 9, LAS VEGAS, NV 89148-8351
(702) 545-9842
(702) 360-0755
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
17690
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100515749
MEDICAID - SOUTH
NV
01
—
100515750
MEDICAID - NORTH
NV
05
—
17690
—
NV
Enumeration date
10/03/2008
Last updated
05/17/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us