Provider Demographics
NPI:1447702493
Name:SAHARA WEST URGENT CARE AND WELLNESS LLC
Entity type:Organization
Organization Name:SAHARA WEST URGENT CARE AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALANA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-248-0554
Mailing Address - Street 1:6125 W SAHARA AVE # 1B
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-3037
Mailing Address - Country:US
Mailing Address - Phone:702-248-0554
Mailing Address - Fax:702-248-0728
Practice Address - Street 1:6125 W SAHARA AVE
Practice Address - Street 2:# 1B
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-3037
Practice Address - Country:US
Practice Address - Phone:702-248-0554
Practice Address - Fax:702-248-0728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-25
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty