Dr. Joel & Carol Bower School Based Health Center

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

DR. JOEL & CAROL BOWER SCHOOL BASED HEALTH CENTER

Practice address

400 Palo Verde Dr
Henderson, NV 89015-6028

Phone

(702) 799-0508

Fax

(702) 799-0510

NPI assigned

May 15, 2014

Organization subpart

Yes

Parent organization

NEVADA STATE COLLEGE FOUNDATIONAs reported in NPPES

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

Authorized official

Name

Dr. Sherrilyn Coffman

Title

Director

Phone

(702) 992-2045

Specialties & licenses 1

Addresses

Part of

Dr Joel Carol Bower School Based Health Center

Locations

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1386055028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PALO VERDE DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890156028",
            "telephone_number": "702-799-0508",
            "fax_number": "702-799-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PALO VERDE DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890156028",
            "telephone_number": "702-799-0508",
            "fax_number": "702-799-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOEL & CAROL BOWER SCHOOL BASED HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEVADA STATE COLLEGE FOUNDATION",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "SHERRILYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-992-2045",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Health Worker in Henderson, NV
• Providers in Henderson, NV by specialty
• Community Health Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.