C3ERLAS1,PLLC


Address: 5757 Wayne Newton Blvd, Terminal 1, 2nd Floor, Las Vegas, NV 89111
Phone: 7028460020

C3ERLAS1,PLLC (NPI# 1265966626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265966626
Entity Type Organization
Organization Name C3ERLAS1,PLLC
Other Organization Name CODE 3 URGENT CARE
Practice Address 5757 Wayne Newton Blvd
Terminal 1, 2nd Floor
Las Vegas
NV 89111
Mailing Address 5300 Town and Country Blvd
Suite 260
Frisco
TX 75034-6894
Practice Telephone 7028460020
Practice Fax Number 7028460024
Mailing Telephone 4693209820
Enumeration Date 2017-04-12
Last Update Date 2018-07-09
Authorized Official Name DR. CARRIE E DE MOOR (CEO)
Authorized Official Telephone 4693209820
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QU0200X Clinic/Center
Specialization: Urgent Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Code 3 Urgent Care Doing Business As Name - Organization

Office Location

Street Address 5757 WAYNE NEWTON BLVD
TERMINAL 1, 2ND FLOOR
City LAS VEGAS
State NV
Zip Code 89111

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093044885 Mary E Carney Registered Nurse 5757 Wayne Newton Blvd, Las Vegas, NV 89111-5000 2009-12-08
1710375159 Partida Medical Center LLC Internal Medicine 5757 Wayne Newton Blvd, Terminal 1 Mezzanine Level 2, Las Vegas, NV 89111-8037 2015-01-08
1184035487 Well Care Pharmacy I, LLC Pharmacy 5757 Wayne Newton Blvd, Las Vegas, NV 89111-8037 2014-05-08
1659781086 Joan Linscott Nurse Practitioner 5757 Wayne Newton Blvd, Terminal 1 Mezzannine Level 2, Las Vegas, NV 89111-8037 2014-05-07
1013249481 Airport Md - Las Vegas Clinic/Center 5757 Wayne Newton Blvd, Las Vegas, NV 89111-5000 2010-02-09
1043540644 Toni Elaine Butler Licensed Practical Nurse 5757 Wayne Newton Blvd, Las Vegas, NV 89111-5000 2010-01-04
1538499389 Helga White Registered Nurse 5757 Wayne Newton Blvd, Las Vegas, NV 89111-5000 2009-12-29

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Taxonomy Information

Taxonomy Code 261QU0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Urgent Care

Taxonomy Definition

Definition to come...

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Competitor

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City LAS VEGAS
Zip Code 89111

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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