Provider Demographics
NPI:1235285123
Name:HEALTH PROJECTS NEVADA
Entity Type:Organization
Organization Name:HEALTH PROJECTS NEVADA
Other - Org Name:SAN JUAN BAUTISTA MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:702-767-4667
Mailing Address - Street 1:400 PIONEER ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-1702
Mailing Address - Country:US
Mailing Address - Phone:702-767-4667
Mailing Address - Fax:702-639-1291
Practice Address - Street 1:6201 HARGROVE AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-2512
Practice Address - Country:US
Practice Address - Phone:702-639-1244
Practice Address - Fax:702-639-1291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVQ07-01273-6-131430261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service