Health Projects Nevada

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

Q07-01273-6-131430 Issued in NV

Legal business name

HEALTH PROJECTS NEVADA

Doing business as

San Juan Bautista Medical Center

Practice address

6201 Hargrove Ave
Las Vegas, NV 89107-2512

Phone

(702) 639-1244

Fax

(702) 639-1291

NPI assigned

Jan 25, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Joseph Little Jr.

Title

Executive Administrator

Phone

(702) 767-4667

Specialties & licenses 1

Addresses

Other names 1

• San Juan Bautista Medical Center Doing business as

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235285123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PIONEER ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890151702",
            "telephone_number": "702-767-4667",
            "fax_number": "702-639-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 HARGROVE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072512",
            "telephone_number": "702-639-1244",
            "fax_number": "702-639-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PROJECTS NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "702-767-4667",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NV",
            "license": "Q07-01273-6-131430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Juan Bautista Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Service Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Health Service Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.