St Clare Medical Services Inc
NPI 1548579022ActiveOrganization· Preferred Provider Organization· Las Vegas, NV
Preferred Provider Organization in Las Vegas, Nevada, registered in NPPES in September 2010. The authorized official on file is Kimberly Phan, Billing Coordinator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1548579022 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 30, 2010 |
| Last updated in NPPES | Oct 11, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | NV9215 | NV |
| Health Maintenance Organization | 302R00000X | NV9215 | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NV) |
|---|
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