NPI Registry.org

Choice Family Medical Clinic Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
CHOICE FAMILY MEDICAL CLINIC LLC15387786342022-04-06

The organization Choice Family Medical Clinic Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1538778634. Registration indicates Choice Family Medical Clinic Llc is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center, ) (All Other Specialties & Provider Types, ) (Clinic/Center, Ambulatory Health Care Facilities) (Ambulatory Health Care Facilities, Clinic/Center) (Clinic/Center: Primary Care, ) (Primary Care/Family Planning/APRN/PA, ) (Clinic/Center Primary Care, Ambulatory Health Care Facilities) (Clinic/Center, ) (Ambulatory Health Care Facilities, Clinic/Center) (Clinic/Center: Urgent Care, ) (All Other Specialties & Provider Types, ) (Clinic/Center Urgent Care, Ambulatory Health Care Facilities) (Clinic/Center, )

Entity TypeOrganization
Provider OrganizationCHOICE FAMILY MEDICAL CLINIC LLC
Practice Office Address4185 VEGAS VALLEY DR STE C
LAS VEGAS, NV US
Practice Office Telephone7024639066
Practice Office Fax7024639067
Mailing Address400 N STEPHANIE ST STE 260
HENDERSON, NV 890146800 US
Business Telephone7026295555
Authorized OfficialLETANIYA WARREN TATUM, OWNER
7026800600
HPT Codes
CodePractice
License No
State
261Q00000X PRIMARY
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center

All Other Specialties & Provider Types

Clinic/Center
Ambulatory Health Care Facilities
261QP2300X
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Primary Care

Primary Care/Family Planning/APRN/PA

Clinic/Center Primary Care
Ambulatory Health Care Facilities
Clinic/Center
261QU0200X
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Urgent Care

All Other Specialties & Provider Types

Clinic/Center Urgent Care
Ambulatory Health Care Facilities
Clinic/Center
OPI Codes
2500010169 MEDICAID NV
NV20201837431 OTHER NV STATE OF NEVADA
There has been an issue connecting to the database. The bells are ringing and alarms are sounding. Please try again in a few short minues and hopefully the problem will be resolved.SQLSTATE[HY000] [2002] Connection refused