| The Valley Hlth Care Ctr Pwd By Vwh-green Valley | |
|
100 N Green Valley Pkwy Ste 235 Henderson NV 89074-7704 | |
| (725) 333-8036 | |
| (702) 823-0316 |
| Full Name | The Valley Hlth Care Ctr Pwd By Vwh-green Valley |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 N Green Valley Pkwy Ste 235, Henderson, Nevada |
| Authorized Official Name and Position | Janell Hansen (LICENSING ANALYST) |
| Authorized Official Contact | 2063956973 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Valley Hlth Care Ctr Pwd By Vwh-green Valley 1201 2nd Ave Ste 1400 Seattle WA 98101-3020 Ph: (206) 395-6870 | The Valley Hlth Care Ctr Pwd By Vwh-green Valley 100 N Green Valley Pkwy Ste 235 Henderson NV 89074-7704 Ph: (725) 333-8036 |
| NPI Number | 1639765456 |
|---|---|
| Provider Enumeration Date | 12/16/2020 |
| Last Update Date | 09/27/2023 |
| Medicare PECOS PAC ID | 3577985282 |
|---|---|
| Medicare Enrollment ID | O20210510001908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639765456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Robert B Vance |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245375039 PECOS PAC ID: 2264464130 Enrollment ID: I20050831000772 |
| Provider Name | Jessica M Bledsoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245733039 PECOS PAC ID: 2264796978 Enrollment ID: I20180504001537 |
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