OPTUM CLINIC PA (NPI# 1710393392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710393392 |
| Entity Type | Organization |
| Organization Name | OPTUM CLINIC PA |
| Other Organization Name | OPTUM CLINIC |
| Practice Address |
69 S Valle Verde Dr. Henderson NV 89012 |
| Mailing Address |
Po Box 692 Minneapolis MN 55440-0692 |
| Practice Telephone | 8774565506 |
| Mailing Telephone | 8774565506 |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2016-03-14 |
| Authorized Official Name | DR. CURTIS MOCK (CEO) |
| Authorized Official Telephone | 4017327325 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Optum Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932515640 | Optum Clinic Pa | Clinic/Center | 5060 S Fort Apache Rd, Suite 150, Las Vegas, NV 89148-1716 | 2014-07-02 |
| Street Address |
69 S VALLE VERDE DR. |
| City | HENDERSON |
| State | NV |
| Zip Code | 89012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336610518 | Girisgen & Kopolow Od PC | Optometrist | 75 S Valle Verde Pkwy, Ste 120, Henderson, NV 89012 | 2018-12-16 |
| 1821569138 | Fife Dermatology, P.C. | Dermatology | 1736 W. Horizon Ridge Parkway, Henderson, NV 89012 | 2018-12-13 |
| 1487153383 | Jenny Hawkins | Speech-Language Pathologist | 1290 Sage Green Ct., Henderson, NV 89012 | 2018-02-06 |
| 1609308428 | Jovan Paris Trevino | Counselor | 607 Backbone Mountain Dr., Henderson, NV 89012 | 2017-03-30 |
| 1881144947 | Rise Center for Recovery | Community/Behavioral Health | 1681 W. Horizon Ridge Pkwy, Henderson, NV 89012 | 2016-10-12 |
| 1629524004 | Helping Hands Support Services LLC | Community/Behavioral Health | 245 S Gibson Road, 2101, Henderson, NV 89012 | 2016-08-26 |
| 1336594654 | Southwest Integrated Care Services, LLC | Behavioral Analyst | 170 S. Green Valley Pkwy Suite 300, Henderson, NV 89012 | 2016-04-25 |
| 1437531902 | Laura M. Bruse, M.d., P.C. | Orthopaedic Surgery | 1452 W. Horizon Ridge Pkwy #510, Henderson, NV 89012 | 2015-06-22 |
| 1407253032 | Yah Aggre | Behavioral Analyst | 1318 Crystal Hill Ln, 1, Henderson, NV 89012 | 2014-11-25 |
| 1629484209 | Optum Medical Services PC | Family Medicine | 69 S Valle Verde Road, Henderson, NV 89012 | 2014-07-03 |
| Find all providers in zip 89012 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730431651 | Warm Springs & Green Valley,llc | Clinic/Center | 2269 N Green Valley Pkwy, Henderson, NV 89014 | 2012-10-03 |
| 1174874895 | Eastern & Horizon Ridge,llc | Clinic/Center | 10652 S Eastern Avenue, Suite A, Henderson, NV 89052 | 2012-09-20 |
| 1033471941 | R&r Medical Group, LLC | Clinic/Center | 655 S Green Valley Pkwy, Ste 100, Henderson, NV 89052-0404 | 2012-06-15 |
| 1063742120 | Good Night Pediatrics East Valley PC | Clinic/Center | 2651 N Green Valley Pkwy Ste 101d, Henderson, NV 89014-0266 | 2010-01-12 |
| 1790936458 | Van Wagner Immediate Care Center | Clinic/Center | 2360 Corporate Cir, Suite 100, Henderson, NV 89074-7722 | 2008-09-30 |
| 1538721642 | University Medical Center of Southern Nevada | Clinic/Center | 525 Marks St, Henderson, NV 89014-6654 | 2019-06-28 |
| 1508238452 | Ack Healthcare Management, LLC | Clinic/Center | 1704 2nd St, Henderson, KY 42420 | 2015-10-30 |
| 1134546575 | Urgent Care Nevada, LLC | Clinic/Center | 10652 S Eastern Ave, Suite A, Henderson, NV 89052-4952 | 2014-03-24 |
| 1336495498 | R & R Medical Group, LLC | Clinic/Center | 655 S Green Valley Pkwy, Suite 100, Henderson, NV 89052-0404 | 2012-07-26 |
| 1194057505 | Grondel Urgent Care of Henderson, Pllc | Clinic/Center | 10561 Jeffreys St, Suite 100, Henderson, NV 89052-4266 | 2010-02-10 |
| Find all providers in HENDERSON | ||||
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| 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.