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DIGNITY HEALTH MEDICAL GROUP NEVADA LLC NPI 1629587845


NPI Information

NPI: 1629587845
Provider Name: DIGNITY HEALTH MEDICAL GROUP NEVADA LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 29D2067246

Address:
8205 W WARM SPRINGS RD STE 210
LAS VEGAS, NV
ZIP 89113
Phone: (702) 616-5801
Get Directions

DIGNITY HEALTH MEDICAL GROUP NEVADA LLC is a family medicine in Las Vegas, NV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DIGNITY HEALTH MEDICAL GROUP NEVADA LLC NPI is 1629587845. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8205 W WARM SPRINGS RD STE 210
LAS VEGAS, NV
ZIP 89113-646
Phone: (702) 616-5801

The provider's authorized official is Melissa Walker .
The authorized official title is Cfo and has the following contact phone number (702) 616-5507.

The CLIA number assigned to this NPI record is 29D2067246 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2017 and was last updated on 9/20/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes
2207R00000XInternal MedicineNo
3363L00000XNurse PractitionerNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERTIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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