Organization Active NPI

Clark County Behavioral Health Services LLC

  • Primary Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1073175618
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CLARK COUNTY BEHAVIORAL HEALTH SERVICES LLC
Practice address
2915 W Charleston Blvd Ste 2
Las Vegas, NV 89102-1903
Phone
(702) 482-9658
NPI assigned
Jul 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Meilan L Daguman, APRN
Title
Provider
Phone
(702) 815-6350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2915 W Charleston Blvd Ste 2
Las Vegas, NV 89102-1903

Mailing address

2375 E Tropicana Ave Ste 144
Las Vegas, NV 89119-6564
Phone (702) 482-9658

National Provider Directory

National Provider Directory
Tax ID family
Clark County Behavioral Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2915 W Charleston Blvd
Ste 2
Las Vegas, NV 89102
Phone (702) 482-9658

2375 E Tropicana Ave
Ste 144
Las Vegas, NV 89119

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1073175618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 E TROPICANA AVE STE 144",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196564",
            "telephone_number": "702-482-9658",
            "fax_number": "702-974-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 W CHARLESTON BLVD STE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021903",
            "telephone_number": "702-482-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK COUNTY BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "DAGUMAN",
        "authorized_official_first_name": "MEILAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "702-815-6350",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.