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SOUTHERN HILLS MEDICAL CENTER LLC NPI 1114576857


NPI Information

NPI: 1114576857
Provider Name: SOUTHERN HILLS MEDICAL CENTER, LLC
Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

CLIA Number: 29D1056173

Address:
3325 S FORT APACHE RD
LAS VEGAS, NV
ZIP 89117
Phone: (702) 962-0500
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SOUTHERN HILLS MEDICAL CENTER, LLC is an emergency care clinic center in Las Vegas, NV. SOUTHERN HILLS MEDICAL CENTER, LLC NPI is 1114576857. The provider is registered as an organization entity type.

The provider's business location address is:

3325 S FORT APACHE RD
LAS VEGAS, NV
ZIP 89117-360
Phone: (702) 962-0500
Fax: (702) 916-9009

The provider's authorized official is Jennifer Le .
The authorized official title is Cfo and has the following contact phone number (702) 916-9002.

The CLIA number assigned to this NPI record is 29D1056173 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/5/2019 and was last updated on 9/5/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0002XClinic/CenterEmergency CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100502481MEDICAIDNEVADA
2926769MEDICAIDARIZONA
3100502482MEDICAIDNEVADA
4XHSP43697MEDICAIDCALIFORNIA
5100502483MEDICAIDNEVADA
6XHSP33697MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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