Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Safe Harbor Medical, Inc

Organization Community Health Clinic/Center · NPI 1205636032

Safe Harbor Medical, Inc is a Community Health Clinic/Center in Las Vegas, Nevada. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6114 W Charleston Blvd
Las Vegas, NV 89146-1127
Phone: (702) 870-8852
Fax: (702) 870-8914
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Community Health Clinic/Center Taxonomy 261QC1500X

Record details

NPI number1205636032
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSafe Harbor Medical, Inc
Authorized official Tina Alicea — Ceo · (702) 870-8852
Other names Safe Harbor Medical-Trac B
NPI enumeratedMarch 19, 2025
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025
Mailing address2901 N Tenaya Way Ste 100, Las Vegas, NV 89128-1404

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