Activate Healthcare Local 357 Orange

Organization Active NPI Preventive Medicine/Occupational Environmental Medicine Physician · Henderson, NV

NPI 1700528155 · NPPES record last updated Apr 7, 2022

Key facts

NPI
1700528155
Entity type
Organization (NPI type 2)
Primary specialty
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X
Legal business name
ACTIVATE HEALTHCARE LOCAL 357 ORANGE
Practice address
283 N Pecos Rd
Henderson, NV 89074-1918
Phone
(704) 661-1380
NPI assigned
Apr 7, 2022
Organization subpart
No

Authorized official

Name
Jill Johnson Patton
Title
Director of Risk Management
Phone
(704) 936-5546

Corporate family (same tax ID) 21

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

National Provider Directory

Tax ID family
Everside Health LLC (200 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2083P0500X Yes

Addresses

Primary practice location

283 N Pecos Rd
Henderson, NV 89074-1918

Mailing address

4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916

Other providers in Henderson, NV

All providers in Henderson, NV · Preventive Medicine/Occupational Environmental Medicine Physician in Nevada

Sources for this page

Verify at the official NPI Registry.