OrganizationActive
Van Wagner Immediate Care Center
NPI 1790936458 · Urgent Care Clinic/Center · Henderson, NV
Provider details
- NPI number
- 1790936458
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Van Wagner Healthcare Management
- Organization subpart
- Yes
- Authorized official
- Kelly Van Wagner, Owner(702) 990-0333
- License
- 9533 (NV)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2360 Corporate Cir
Suite 100
Henderson, NV 89074-7722
Phone: (702) 990-0333
Fax: (702) 990-0336
Street-level locationGet directions
Mailing address
2225 Village Walk Dr
Henderson, NV 89052-5679
Registry dates
- Enumerated
- 2008-09-30
- Last updated
- 2008-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.