Alpha Medical Centre Walters, LTD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

4017 Issued in NV

Legal business name

ALPHA MEDICAL CENTRE WALTERS, LTD

Practice address

348 N Nellis Blvd
Suite E
Las Vegas, NV 89110-0053

Phone

(702) 570-5072

Fax

(702) 570-5384

NPI assigned

Mar 23, 2016

Organization subpart

No

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

Authorized official

Name

Rosa Gonzalez

Title

Credentialing

Phone

(702) 540-3499

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1902268501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 N NELLIS BLVD",
            "address_2": "SUITE E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891100053",
            "telephone_number": "702-570-5072",
            "fax_number": "702-570-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 N NELLIS BLVD",
            "address_2": "SUITE E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891100053",
            "telephone_number": "702-570-5072",
            "fax_number": "702-570-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA MEDICAL CENTRE WALTERS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "702-540-3499"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NV",
            "license": "4017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpha & Omega Total Care LLC
• Alpha & Omega Total Care LLC
• Alpha Behavioral Care
• Alpha Home Health Agency, Inc.
• Alpha Institute, LTD
• Alpha Medical Providers
• Alpha Medical Supplies
• Alpha Medical Supplies
• Alpha Medical Supplies, LLC
• Alpha Palliative Health Services , LLC

• Primary Care Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Primary Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.