Provider Demographics
NPI:1548819006
Name:TELEMDCARE
Entity type:Organization
Organization Name:TELEMDCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:R
Authorized Official - Last Name:PLUMMER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:702-800-0930
Mailing Address - Street 1:9064 DOVE RIVER RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-1803
Mailing Address - Country:US
Mailing Address - Phone:702-800-0930
Mailing Address - Fax:
Practice Address - Street 1:9064 DOVE RIVER RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-1803
Practice Address - Country:US
Practice Address - Phone:702-800-0930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DANIELLE RAIMAN PLUMMER, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-08
Last Update Date:2019-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care