Organization · NPI-2

Activate Healthcare Local 357 Orange

Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine · Henderson, NV

NPI number1700528155
StatusActive
Last updated in NPPESApr 7, 2022

Details

NPI
1700528155
Entity type
Organization (NPI-2)
Legal business name
Activate Healthcare Local 357 Orange
Organization subpart
No
Enumeration date
Apr 7, 2022
Certification date
Apr 7, 2022
Last updated
Apr 7, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine––Yes

Practice location

283 N Pecos Rd
Henderson, NV 89074-1918

Phone 704-661-1380

Mailing address

4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916

Authorized official

Jill Johnson Patton
Director Of Risk Management
7049365546

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