NPIMap

Organization Active NPI

Concorde Treatment Center,LLC

  • Institutional Pharmacy
  • Las Vegas, NV
National Provider Identifier
1326482456
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
IA02919 Issued in NV
Legal business name
CONCORDE TREATMENT CENTER,LLC
Doing business as
Desert Hope Center
Practice address
2465 E Twain Ave
Las Vegas, NV 89121-4011
Phone
(702) 789-6207
Fax
(702) 789-6197
NPI assigned
Apr 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Authorized official

Name
Derek Price
Title
Facility Ceo
Phone
(702) 789-6242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X IA02919 NV Primary

Addresses

Primary practice location

2465 E Twain Ave
Las Vegas, NV 89121-4011

Mailing address

200 Powell PL
Attn: Legal Department
Brentwood, TN 37027-7514
Phone (615) 732-1605

Other names 1

  • Desert Hope Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Concorde Treatment Center 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.

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1326482456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 POWELL PL",
            "address_2": "ATTN: LEGAL DEPARTMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277514",
            "telephone_number": "615-732-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 E TWAIN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214011",
            "telephone_number": "702-789-6207",
            "fax_number": "702-789-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDE TREATMENT CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "FACILITY CEO",
        "authorized_official_telephone_number": "702-789-6242"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NV",
            "license": "IA02919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Hope Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 25, 2021; 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.