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Contact Information

LAS VEGAS CLINIC FOR CHILDREN & YOUTH
501 7TH STREET
LAS VEGAS, NM87701
 Phone: 505-425-3566
 Fax: 505-425-3568
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LAS VEGAS CLINIC FOR CHILDREN & YOUTH

NPI Number 1558429720
LBN Legal business name LAS VEGAS CLINIC FOR CHILDREN & YOUTH
Authorized official GEORGE BUNCH - (PRESIDENT MD)
Entity Organization
Organization subpart 1 No
Enumeration date 12/04/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NM Medicaid 49395
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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