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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

INTEGRATED MEDICAL CLINIC LLC
NPI 1811782584
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Active since April 11, 2025
501 S RANCHO DR STE F38, LAS VEGAS, NV 89106(323) 347-0008 Get Directions Write a Review

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

Record update history: Jul 16, 2026, Apr 11, 2025 (2 updates tracked since 2025).

About Integrated Medical Clinic Llc NPPES

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

INTEGRATED MEDICAL CLINIC LLC (NPI 1811782584) is a healthcare organization registered as a psychiatric/mental health in Las Vegas, Nevada and active in the NPI registry since April 2025. The organization lists Samuel Chinenye Godwin, Owner, as its authorized official.

NPPES Registry Identity

NPI1811782584
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameINTEGRATED MEDICAL CLINIC LLC
Location Address501 S RANCHO DR STE F38Las Vegas, NV 89106-4834
Mailing Address501 S Rancho Dr Ste F38Las Vegas, NV 89106-4834 · (323) 347-0008
Phone(323) 347-0008
Organization SubpartNo
Authorized OfficialSamuel Chinenye GodwinOwner · (323) 347-0008
Enumeration DateApril 11, 2025
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1811782584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
501 S RANCHO DR STE F38, Las Vegas, NV 89106
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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 2

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

PINNOVA MEDICAL GROUP
Clinic/Center (Primary Care)
501 S RANCHO DR STE F38
LAS VEGAS, NV 89106
Clark County (702) 688-3286
QUALITY HEALTH CENTER, LLC
Clinic/Center (Multi-Specialty)
501 S RANCHO DR STE F38
LAS VEGAS, NV 89106
Clark County (702) 992-3439

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 Integrated Medical Clinic LLC's NPI number?

The NPI number for Integrated Medical Clinic LLC is 1811782584. It was assigned to this organization in the NPPES registry on April 11, 2025.

Where is Integrated Medical Clinic LLC located?

Integrated Medical Clinic LLC is located at 501 S Rancho Dr Ste F38, Las Vegas, NV 89106. The listed phone number is (323) 347-0008.

What is Integrated Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Integrated Medical Clinic LLC was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.