Provider Demographics
NPI:1730632860
Name:SILVERSUMMIT HEALTHPLAN, INC.
Entity type:Organization
Organization Name:SILVERSUMMIT HEALTHPLAN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:LEAF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-366-2880
Mailing Address - Street 1:2500 N BUFFALO DR STE 230
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-7856
Mailing Address - Country:US
Mailing Address - Phone:844-366-2880
Mailing Address - Fax:
Practice Address - Street 1:2500 N BUFFALO DR STE 230
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-7856
Practice Address - Country:US
Practice Address - Phone:844-366-2880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTENE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization