Provider Demographics
NPI:1639473317
Name:PREMISE HEALTH OF NEVADA MEDICAL HINITT P C
Entity Type:Organization
Organization Name:PREMISE HEALTH OF NEVADA MEDICAL HINITT P C
Other - Org Name:LABORERS HEALTH & WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HINITT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-468-6248
Mailing Address - Street 1:3061 S. MARYLAND PKWY # 101
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-2298
Mailing Address - Country:US
Mailing Address - Phone:702-222-9355
Mailing Address - Fax:702-732-8540
Practice Address - Street 1:3061 S. MARYLAND PKWY # 101
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2298
Practice Address - Country:US
Practice Address - Phone:702-222-9355
Practice Address - Fax:702-732-8540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-10
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care