NPIMap

Southern Nevada Health District

A Medicare group practice based in Las Vegas, NV: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 3375542939), with 21 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3375542939The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
NV
Enrollments
5
Group size
20 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
7In 2 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20061207000459 NV Part B Supplier - Mass Immunization (Roster Biller Only) 1275550212
O20190916003250 NV Part B Supplier - Clinic/Group Practice 1275550212
O20191223001358 NV Part A Provider - Federally Qualified Health Center (FQHC) 1932745668
O20160915000735 NV Part B Supplier - Independent Clinical Laboratory 1215315973
O20230124002814 NV Part A Provider - Federally Qualified Health Center (FQHC) 1932745668

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 21

Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (20).

Sources for this page