Provider Demographics
NPI:1497305247
Name:SIGNAL HEALTH GROUP INC
Entity Type:Organization
Organization Name:SIGNAL HEALTH GROUP INC
Other - Org Name:DOCS@HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAHN
Authorized Official - Middle Name:H
Authorized Official - Last Name:MARCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-238-1381
Mailing Address - Street 1:PO BOX 15127
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89114-5127
Mailing Address - Country:US
Mailing Address - Phone:702-843-0579
Mailing Address - Fax:
Practice Address - Street 1:3753 HOWARD HUGHES PKWY # 200-216
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-0938
Practice Address - Country:US
Practice Address - Phone:702-843-0579
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SIGNAL HEALTH GROUP INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-13
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty