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Contact Information

EMPOWERED PAIN PRIMARY AND URGENT CARE CENTER OF NEVADA LLC
6465 W SAHARA AVE STE 103
LAS VEGAS, NV89146-3071
 Phone: 702-822-1881
 Fax: 702-822-1880
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Community Health

363LC1500X 50 Nurse Practitioner
 

Critical Care Medicine

363LC0200X 50 Nurse Practitioner
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for EMPOWERED PAIN PRIMARY AND URGENT CARE CENTER OF NEVADA LLC

NPI # 1912599168
LBN Legal business name EMPOWERED PAIN PRIMARY AND URGENT CARE CENTER OF NEVADA LLC
Authorized official CHARLES RUSSELL - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/09/2021
Last updated 10/28/2022 - About 4 years ago
Identifiers
NV Medicaid 250018412
NV Other B202102081415526 NEVADA SECRETARY OF STATE
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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