Bamboo Family Clinic LLC
NPI 1881196012ActiveOrganization· Pediatrics· Henderson, NV
Pediatrics in Henderson, Nevada, registered in NPPES in March 2018. The authorized official on file is Shirley Holdeman, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1881196012 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 3, 2018 |
| Last updated in NPPES | Mar 3, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
| Clinic/Center | 261Q00000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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