Provider Demographics
NPI:1619687373
Name:COMMUNITY HEALTH WORKERS OF NEVADA
Entity Type:Organization
Organization Name:COMMUNITY HEALTH WORKERS OF NEVADA
Other - Org Name:CHW OF NEVADA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MAX
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER-HOOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-426-2412
Mailing Address - Street 1:6975 OBANNON DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-2121
Mailing Address - Country:US
Mailing Address - Phone:302-223-9514
Mailing Address - Fax:
Practice Address - Street 1:6975 OBANNON DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-2121
Practice Address - Country:US
Practice Address - Phone:302-223-9514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-02
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty