Provider Demographics
NPI:1295938900
Name:LIONS HEALTHFIRST FOUNDATION
Entity type:Organization
Organization Name:LIONS HEALTHFIRST FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:BARTEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-739-6430
Mailing Address - Street 1:5040 EDNA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-6805
Mailing Address - Country:US
Mailing Address - Phone:702-739-6393
Mailing Address - Fax:
Practice Address - Street 1:5040 EDNA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-6805
Practice Address - Country:US
Practice Address - Phone:702-739-6393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization