OrganizationActive
Blue 42 Inc
NPI 1902500028 · Community Health Clinic/Center · Las Vegas, NV
Provider details
- NPI number
- 1902500028
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jshauntae Marshall, Director(775) 538-5104
Specialties & taxonomies
Ambulatory Health Care Facilities
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Lactation Consultant (Non-RN)174N00000X
Other Service Providers
- Case Management Agency251B00000X
Agencies
- Birthing Clinic/Center261QB0400X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Doula374J00000X
Practice location
1230 W Owens Ave Ste 1
Las Vegas, NV 89106-2451
Phone: (775) 538-5104
Approximate (ZIP-level) locationGet directions
Mailing address
8046 Pavarotti Ave
Las Vegas, NV 89178-8264
Additional practice locations (1)
- 1001 Bannock StDenver, CO 80204-4150Phone: (719) 738-8078
Registry dates
- Enumerated
- 2023-03-30
- Last updated
- 2024-06-23
- Certified
- 2024-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.