Provider Demographics
NPI:1598106049
Name:SEARCHLIGHT HEALTHCARE CHARITIES
Entity Type:Organization
Organization Name:SEARCHLIGHT HEALTHCARE CHARITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:BERTOLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-290-2910
Mailing Address - Street 1:98 E LAKE MEAD PKWY
Mailing Address - Street 2:SUITE 305
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-5540
Mailing Address - Country:US
Mailing Address - Phone:702-427-4453
Mailing Address - Fax:
Practice Address - Street 1:98 E LAKE MEAD PKWY
Practice Address - Street 2:SUITE 305
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-5540
Practice Address - Country:US
Practice Address - Phone:702-427-4453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-12
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care