Great West Medical Associates

LBN: Great West Medical Associates Carrol Llp
Great West Medical Associates is an health care organization with primary practice located at 3150 N Tenaya Way Suite 525, Las Vegas NV 89128-0443. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Great West Medical Associates Carrol Llp can be contacted via phone (702) 220-9865, or through Carrol, Clifford via phone (702) 220-9865.

Contact Information

Primary practice address
3150 N Tenaya Way Suite 525 Las Vegas NV 89128-0443
Phone: (702) 220-9865
Fax: (702) 251-8196
Website:
Map and Directions
Authorized official contact:
Name: Carrol, Clifford Doctor of Medicine (MD)
Phone: (702) 220-9865

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X Nevada

Profile Details

NPI number 1750556940
LBN Legal business name Great West Medical Associates Carrol Llp
DBA Doing business as Great West Medical Associates
Authorized official Carrol, Clifford Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2008
Last updated Jun 22nd, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750556940 NPPES
Nevada MEDICAID 1750556940

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