Organization
NCC HOUSE CALLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG M JORGENSON MD (PRESIDENT)
(702) 279-6977
Entity
Organization
Contact information
Practice address
9975 S EASTERN AVE, SUITE 110, LAS VEGAS, NV 89183-7949
(702) 492-7208
(702) 616-0657
Mailing address
9975 S EASTERN AVE STE 110, LAS VEGAS, NV 89183-7950
(702) 659-9090
(866) 879-7229
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073071932
—
NV
05
—
1154697126
—
NV
05
—
1154893881
—
NV
05
—
1174624142
—
NV
05
—
1265998736
—
NV
05
—
1356822282
—
NV
05
—
1417956848
—
NV
05
—
1528492907
—
NV
05
—
1720487598
—
NV
Enumeration date
06/15/2016
Last updated
04/28/2023
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