VAN WAGNER IMMEDIATE CARE CENTER
NPI 1790936458
Clinic/Center - Urgent Care in Henderson, NV

Active since September 30, 2008
2360 CORPORATE CIR, SUITE 100, HENDERSON, NV 89074(702) 990-0333(702) 990-0336 Get Directions Write a Review

NPPES record last updated: October 1, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Van Wagner Immediate Care Center NPPES

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

VAN WAGNER IMMEDIATE CARE CENTER (NPI 1790936458) is a healthcare organization registered as an urgent care in Henderson, Nevada and active in the NPI registry since September 2008. The organization lists Kelly Elan Van Wagner, Owner, as its authorized official.

NPPES Registry Identity

NPI1790936458
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameVAN WAGNER IMMEDIATE CARE CENTER
Location Address2360 CORPORATE CIR, SUITE 100Henderson, NV 89074-7722
Mailing Address2225 Village Walk Dr, Suite 270Henderson, NV 89052-5679 · (702) 990-0333 · Fax (702) 990-0336
Fax(702) 990-0336
Organization SubpartYesParent: Van Wagner Healthcare Management
Authorized OfficialKelly Elan Van WagnerOwner · (702) 990-0333
Enumeration DateSeptember 30, 2008
Last NPPES UpdateOctober 1, 2008
NPI 1790936458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
License Licensed in NV · 9533
2360 CORPORATE CIR, Henderson, NV 89074

Other Providers at the Same Location NPPES 2

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

Clinical Medical Laboratory
2360 CORPORATE CIR, STE 100
HENDERSON, NV 89074
Ambulance (Land Transport)
2360 CORPORATE CIR, SUITE 400
HENDERSON, NV 89074

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 Van Wagner Immediate Care Center's NPI number?

The NPI number for Van Wagner Immediate Care Center is 1790936458. It was assigned to this organization in the NPPES registry on September 30, 2008.

Where is Van Wagner Immediate Care Center located?

Van Wagner Immediate Care Center is located at 2360 Corporate Cir Suite 100, Henderson, NV 89074. The listed phone number is (702) 990-0333.

What is Van Wagner Immediate Care Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

When was this NPI record last updated?

The NPPES record for Van Wagner Immediate Care Center was last updated on October 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.