CHMM PAHRUMP MSO, LLC
NPI 1417684713
General Practice in Pahrump, NV

Q: What is Chmm Pahrump Mso, LLC's NPI number?

The NPI number for Chmm Pahrump Mso, LLC is 1417684713. It was assigned to this organization in the NPPES registry on August 5, 2022. The provider is doing business as Pahrump Community Physicians Group.

Q: What is Chmm Pahrump Mso, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since August 05, 2022

360 S LOLA LN, PAHRUMP, NV 89048(702) 449-9173 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2022, Aug 5, 2022 (2 updates tracked since 2022).

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About Chmm Pahrump Mso, Llc NPPES

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

CHMM PAHRUMP MSO, LLC (NPI 1417684713), doing business as Pahrump Community Physicians Group, is a healthcare organization registered as a general practice in Pahrump, Nevada and active in the NPI registry since August 2022. The organization lists Tillie Andrade, Mso Director, as its authorized official.

NPPES Registry Identity

NPI1417684713

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameCHMM PAHRUMP MSO, LLC

Location Address360 S LOLA LNPahrump, NV 89048-0884

Mailing Address222 S Meramec Ave Ste 202Saint Louis, MO 63105-3514

Phone(702) 449-9173

Organization SubpartYes

Authorized OfficialTillie AndradeMso Director · (702) 449-9173

Enumeration DateAugust 5, 2022

Last NPPES UpdateAugust 8, 20222 updates tracked since enumeration

NPPES CertifiedAugust 8, 2022

✔ NPI 1417684713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

360 S LOLA LN, Pahrump, NV 89048

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Other Names 1

Doing Business AsPahrump Community Physicians Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

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