SAFE HARBOR MEDICAL, INC.
NPI 1205636032
Clinic/Center - Federally Qualified Health Center (FQHC) in Las Vegas, NV

Q: What is Safe Harbor Medical, Inc.'s NPI number?

The NPI number for Safe Harbor Medical, Inc. is 1205636032. It was assigned to this organization in the NPPES registry on March 19, 2025. The provider is doing business as Safe Harbor Medical-Trac B.

Q: What is Safe Harbor Medical, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since March 19, 2025

6114 W CHARLESTON BLVD, LAS VEGAS, NV 89146(702) 870-8852(702) 870-8914 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Safe Harbor Medical, Inc. NPPES

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

SAFE HARBOR MEDICAL, INC. (NPI 1205636032), doing business as Safe Harbor Medical-trac B, is a healthcare organization registered as a federally qualified health center (fqhc) in Las Vegas, Nevada and active in the NPI registry since March 2025. The organization lists Tina A Alicea, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205636032

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSAFE HARBOR MEDICAL, INC.

Location Address6114 W CHARLESTON BLVDLas Vegas, NV 89146-1127

Mailing Address2901 N Tenaya Way Ste 100Las Vegas, NV 89128-1404 · (702) 870-8852 · Fax (702) 870-8914

Phone(702) 870-8852

Fax(702) 870-8914

Organization SubpartYes

Authorized OfficialTina A AliceaCeo · (702) 870-8852

Enumeration DateMarch 19, 2025

NPPES CertifiedMarch 19, 2025

✔ NPI 1205636032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X

6114 W CHARLESTON BLVD, Las Vegas, NV 89146

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Other Names 1

Doing Business AsSafe Harbor Medical-trac B

Other Providers at the Same Location NPPES

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

TRAC-B EXCHANGE LLC

Counselor (Addiction (Substance Use Disorder))

6114 W CHARLESTON BLVD
LAS VEGAS, NV 89146

Clark County (702) 840-6693

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 Safe Harbor Medical, Inc.'s NPI number?

The NPI number for Safe Harbor Medical, Inc. is 1205636032. It was assigned to this organization in the NPPES registry on March 19, 2025. The provider is doing business as Safe Harbor Medical-Trac B.

Where is Safe Harbor Medical, Inc. located?

Safe Harbor Medical, Inc. is located at 6114 W Charleston Blvd, Las Vegas, NV 89146. The listed phone number is (702) 870-8852.

What is Safe Harbor Medical, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Safe Harbor Medical, Inc. was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.