NPIMap

Organization Active NPI

Silver State Health Services

Doing business as Silver State Health at Renaissance

  • Federally Qualified Health Center (FQHC)
  • Las Vegas, NV
National Provider Identifier
1356806061
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SILVER STATE HEALTH SERVICES
Doing business as
Silver State Health at Renaissance
Practice address
2215C Renaissance Dr
Las Vegas, NV 89119-6729
Phone
(702) 471-0420
Fax
(702) 471-0420
NPI assigned
Feb 6, 2019
Last updated
Mar 31, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SILVER STATE HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Pauline Mah
Title
Coo
Phone
(702) 471-0420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2215C Renaissance Dr
Las Vegas, NV 89119-6729

Mailing address

2215C Renaissance Dr
Las Vegas, NV 89119-6729

Other names 1

  • Silver State Health at Renaissance Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Silver State Health Services5 organizations share this tax ID, including this one
Part of
Silver State Health Services

Other organizations with this tax ID 4

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

Locations

2215C Renaissance Dr
Las Vegas, NV 89119
Phone (702) 471-0420

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1356806061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215C RENAISSANCE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215C RENAISSANCE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196729",
            "telephone_number": "702-471-0420",
            "fax_number": "702-471-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER STATE HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SILVER STATE HEALTH SERVICES",
        "enumeration_date": "2019-02-06",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "MAH",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "702-471-0420"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver State Health at Renaissance",
            "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 Mar 31, 2022; 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.