VAN WAGNER IMMEDIATE CARE CENTER
NPI 1790936458
Clinic/Center - Urgent Care in Henderson, NV
- Organization
- Clinic/Center
- Urgent Care
About VAN WAGNER IMMEDIATE CARE CENTER
This page provides the complete NPI Profile along with additional information for Van Wagner Immediate Care Center, a provider established in Henderson, Nevada operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1790936458 assigned on September 2008. The practitioner's primary taxonomy code is 261QU0200X with license number 9533 (NV). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Dr. Kelly Elan Van Wagner M.d. (Owner)
- NPI
- 1790936458 Verify this NPI
- Provider Name
- VAN WAGNER IMMEDIATE CARE CENTER
- Entity Type
- Organization
- Location Address
- 2360 CORPORATE CIR SUITE 100 HENDERSON, NV 89074
- Location Phone
- (702) 990-0333
- Location Fax
- (702) 990-0336
- Mailing Address
- 2225 VILLAGE WALK DR SUITE 270 HENDERSON, NV 89052
- Mailing Phone
- (702) 990-0333
- Mailing Fax
- (702) 990-0336
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-30-2008
- Last Update Date
- 10-01-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
- License No.
- 9533
- License State
- NV
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790936458, enumerated as an "organization" on September 30, 2008.
The provider is located at 2360 CORPORATE CIR SUITE 100 HENDERSON, NV 89074 and the phone number is (702) 990-0333.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
