Airport MD - Las Vegas
Organization Active NPI Urgent Care Clinic/Center · Las Vegas, NV
NPI 1013249481 · NPPES record last updated Feb 10, 2010
Key facts
- NPI
- 1013249481
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- AIRPORT MD - LAS VEGAS
- Practice address
- 5757 Wayne Newton Blvd
Las Vegas, NV 89111-5000 - Phone
- (702) 261-4622
- NPI assigned
- Feb 9, 2010
- Organization subpart
- No
Authorized official
- Name
- Jodi Vance
- Title
- Manager
- Phone
- (651) 439-8484
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
5757 Wayne Newton Blvd
Las Vegas, NV 89111-5000
Mailing address
5757 Wayne Newton Blvd
Las Vegas, NV 89111-5000
Phone (702) 261-4622
NPI Registry JSON
{
"created_epoch": "1265673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265760000000",
"number": "1013249481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5757 WAYNE NEWTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891115000",
"telephone_number": "702-261-4622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5757 WAYNE NEWTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891115000",
"telephone_number": "702-261-4622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIRPORT MD - LAS VEGAS",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-09",
"last_updated": "2010-02-10",
"status": "A",
"authorized_official_last_name": "VANCE",
"authorized_official_first_name": "JODI",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "651-439-8484"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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All providers in Las Vegas, NV · Urgent Care Clinic/Center in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.