South Valley Pediatric Center in Henderson - Pediatrics
South Valley Pediatric Center - NPI 1740481837
South Valley Pediatric Center is a Pediatrics in Henderson, Nevada. South Valley Pediatric Center practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for South Valley Pediatric Center is 1740481837. The last update date is 2020-08-22.
South Valley Pediatric Center's current location address is 2610 W Horizon Ridge Pkwy, Henderson, Nevada. You can contact this provider via phone number 7024920004 and fax number 7024920006. The mailing address for South Valley Pediatric Center is 2610 W Horizon Ridge Pkwy, Henderson, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Valley Pediatric Center |
|---|---|
| Address | 2610 W Horizon Ridge Pkwy, Henderson, Nevada |
| Phone Number | 7024920004 |
| Fax Number | 7024920006 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Koch Lynn Gale |
| Telephone Number | 7024920004 |
NPI Number Detail
| NPI Number | 1740481837 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2610 W Horizon Ridge Pkwy |
|---|---|
| City | Henderson |
| State | Nevada (NV) |
| Post Code | 890522869 |
| Phone Number | 7024920004 |
| Fax Number | 7024920006 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | APN000878 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Post Comment/ Review Below
What is the South Valley Pediatric Center's unique identification number?
The South Valley Pediatric Center has been assigned the NPI (National Provider Identifier) Number 1740481837 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where South Valley Pediatric Center's facilities are situated?
The facilities of South Valley Pediatric Center are physically located at the following address: 2610 W Horizon Ridge Pkwy, Henderson, NV, 890522869.
What is South Valley Pediatric Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for South Valley Pediatric Center is Pediatrics, and the taxonomy code that categorizes this field of expertise is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740481837 to South Valley Pediatric Center?
The Centers for Medicare & Medicaid Services originally issued the 1740481837 to South Valley Pediatric Center on 2007-05-29.
When was the information pertaining to South Valley Pediatric Center most recently updated or revised?
The details related to South Valley Pediatric Center, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
Address: 315 N San Saba, San Antonio, TX
Address: Po Box 110429, Aurora, CO
Address: 12007 Titian Way, Potomac, MD
Address: 7782 Fair Oaks Pkwy, Fair Oaks Ranch, TX
Address: Po Box 1375, Water Mill, NY
Address: 126 Catharine St, Philadelphia, PA
Address: 3411 S Old Bastrop Hwy, San Marcos, TX
Address: 555 S Floyd St, Louisville, KY
Address: Po Box 9, Kingsport, TN
Address: 207 E Rickert Ave, Dickson, TN
Address: 101 Oklahoma Ave, Mcalester, OK
Address: 190 Pillsbury Rd, Londonderry, NH
Address: 1002 Dzen Way, South Windsor, CT
Address: Po Box 1430, Portage, IN
Address: 2571 Rochelle Ave, Monrovia, CA