Provider Demographics
NPI:1376893800
Name:CHEROKEE MEDICAL SERVICES
Entity Type:Organization
Organization Name:CHEROKEE MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NOT SURE
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMAINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-564-6600
Mailing Address - Street 1:4233 FORNAX CT
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-0736
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4233 FORNAX CT
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-0736
Practice Address - Country:US
Practice Address - Phone:575-693-3107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital