SAFE HARBOR MEDICAL – NPI #1619394251
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

SAFE HARBOR MEDICAL is a provider located in LAS VEGAS, NV. NPPES has assigned the NPI number 1619394251 to SAFE HARBOR MEDICAL on March 20, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SAFE HARBOR MEDICAL” is a dba name, the actual legal business name for this organization is SAFE HARBOR MEDICAL, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 2 years ago on Mar 04, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAFE HARBOR MEDICAL below.

NPI Profile for
SAFE HARBOR MEDICAL, INC.

NPI Number
1619394251
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAFE HARBOR MEDICAL, INC.
Doing Business As (dba): SAFE HARBOR MEDICAL
Primary location
2901 N TENAYA WAY STE 100
LAS VEGAS, NV 89128-1404
Phone: (702) 870-8852 Fax: (702) 870-8914
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TINA ALICEA
CEO
Phone: (702) 870-8852
Updated
Certification Date
Mar 04, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
NV 380
261QP2300X
- Clinic/Center / Primary Care
261QC1500X
- Clinic/Center / Community Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.