Provider Demographics
NPI:1184038176
Name:HOPE CHRISTIAN HEALTH CENTER CORP
Entity Type:Organization
Organization Name:HOPE CHRISTIAN HEALTH CENTER CORP
Other - Org Name:HOPE CHRISTIAN HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-644-4673
Mailing Address - Street 1:4040 N MARTIN L KING BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-3205
Mailing Address - Country:US
Mailing Address - Phone:702-644-4673
Mailing Address - Fax:702-902-5443
Practice Address - Street 1:4357 CORPORATE CENTER DR
Practice Address - Street 2:SUITE 450
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-7546
Practice Address - Country:US
Practice Address - Phone:702-644-4673
Practice Address - Fax:702-902-5443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-17
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV15015261QF0400X, 261QF0400X
NV14680261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100537710Medicaid
NV1942349592Medicaid
NV100545089Medicaid