Organization
NEVADA HEALTH CENTERS INC
Active
Parent organization
NEVADA HEALTH CENTERS INC
Other names
Martin Luther King Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEVADA HEALTH CENTERS INC
Authorized official
WALTER B DAVIS (CEO)
(775) 888-6610
Entity
Organization
Contact information
Practice address
1799 MOUNT MARIAH DRIVE, LAS VEGAS, NV 89106-1501
(702) 383-1961
(702) 319-6147
Mailing address
3325 RESEARCH WAY, CARSON CITY, NV 89706-7913
(775) 888-6610
(775) 888-4904
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740355858
—
NV
01
—
DQ468A
MEDICARE ID - TYPE UNSPECIFIED
NV
Enumeration date
11/22/2006
Last updated
07/21/2022
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