COMMUNITY OUTREACH MEDICAL CENTER
NPI 1073721361
Clinic/Center - Community Health in Las Vegas, NV

Q: What is Community Outreach Medical Center's NPI number?

The NPI number for Community Outreach Medical Center is 1073721361. It was assigned to this organization in the NPPES registry on May 18, 2007.

Q: What is Community Outreach Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Active since May 18, 2007CLIA 29D0978928 · Waiver

1090 E DESERT INN RD STE 200, LAS VEGAS, NV 89109(702) 657-3873(702) 636-0787 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2021, Dec 16, 2020 (2 updates tracked since 2020).

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About Community Outreach Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY OUTREACH MEDICAL CENTER (NPI 1073721361) is a healthcare organization registered as a community health in Las Vegas, Nevada and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through February 27, 2027 and lists Kema Ogden, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1073721361

Entity TypeOrganization

Primary Taxonomy261QC1500X

Legal Business NameCOMMUNITY OUTREACH MEDICAL CENTER

Location Address1090 E DESERT INN RD STE 200Las Vegas, NV 89109-2803

Mailing Address1090 E Desert Inn Rd Ste 200Las Vegas, NV 89109-2803 · (702) 657-3873 · Fax (702) 636-0787

Phone(702) 657-3873

Fax(702) 636-0787

Organization SubpartNo

Authorized OfficialKema OgdenExecutive Director · (702) 657-3873

Enumeration DateMay 18, 2007

Last NPPES UpdateMarch 29, 20212 updates tracked since enumeration

NPPES CertifiedMarch 29, 2021

✔ NPI 1073721361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities

Taxonomy Code261QC1500X

License✔ Licensed in NV · 8907

1090 E DESERT INN RD STE 200, Las Vegas, NV 89109

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Other Identifiers 1

Medicaid002018167NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D0978928

Community Outreach Medical Center · Las Vegas, NV

Active · expires Feb 27, 2027

CLIA Number29D0978928

Laboratory TypeCommunity Clinic

Certificate Effective DateFebruary 28, 2025

Certificate Expiration DateFebruary 27, 2027

Laboratory DirectorEleanor K. Campbell

Laboratory Phone(702) 657-3873

Laboratory LocationCommunity Outreach Medical Center2080 E Flamingo Rd Ste 302, Las Vegas, NV 89119

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLGA R KALBERMATTER APN

Nurse Practitioner (Pediatrics)

1090 E DESERT INN RD STE 200
LAS VEGAS, NV 89109

Clark County (702) 732-1493

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Outreach Medical Center's NPI number?

The NPI number for Community Outreach Medical Center is 1073721361. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is Community Outreach Medical Center located?

Community Outreach Medical Center is located at 1090 E Desert Inn Rd Ste 200, Las Vegas, NV 89109. The listed phone number is (702) 657-3873.

What is Community Outreach Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Community Outreach Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D0978928) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Community Outreach Medical Center accept?

Health plans from Ambetter from Arizona Complete Health list Community Outreach Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Community Outreach Medical Center was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.