Provider Demographics
NPI:1063282986
Name:CLAY HEALTH & CARE
Entity type:Organization
Organization Name:CLAY HEALTH & CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:LAUREL
Authorized Official - Middle Name:
Authorized Official - Last Name:RIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-840-3722
Mailing Address - Street 1:8180 RAFAEL RIVERA WAY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-5409
Mailing Address - Country:US
Mailing Address - Phone:702-840-3722
Mailing Address - Fax:833-450-5718
Practice Address - Street 1:8180 RAFAEL RIVERA WAY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-5409
Practice Address - Country:US
Practice Address - Phone:702-840-3722
Practice Address - Fax:833-450-5718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-02
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty