Active NPI
Clark County Behavioral Health Services LLC
- Primary Care Clinic/Center
- Las Vegas, NV
National Provider Identifier
1073175618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1144792326
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.