West Las Vegas School Based Health Center

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

License

261QS1000X Issued in NM

Legal business name

WEST LAS VEGAS SCHOOL BASED HEALTH CENTER

Practice address

1024 South Pacific
Las Vegas, NM 87701

Phone

(505) 426-2564

Fax

(505) 426-2579

NPI assigned

May 6, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Yolanda Carrillo

Title

Coordinator

Phone

(505) 426-2564

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

West Las Vegas Public Schools2 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.

• West Las Vegas Public Schools

  • Student Health Clinic/Center
  • Las Vegas, NM
  • NPI 1720305188
  NPD tax ID

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1982922696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 BRIDGE ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877013495",
            "telephone_number": "505-426-2564",
            "fax_number": "505-426-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 SOUTH PACIFIC",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "87701",
            "telephone_number": "505-426-2564",
            "fax_number": "505-426-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LAS VEGAS SCHOOL BASED HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "505-426-2564",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NM",
            "license": "261QS1000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• We Care Home Health Inc
• We Care Transportation
• Jeffrey Scott Webb, PAC
• Wendy Dimmette MD P C
• West Las Vegas Public Schools
• West Las Vegas Schools
• West Las Vegas Schools
• Western States Air Medical LLC
• Western States C.C.T. Inc
• Susan Wetherill, CPSW.FPSW,CCSS

• All providers in Las Vegas, NM
• Student Health Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.