SOUTHWEST MEDICAL ASSOCIATES INC. NPI 1174607303

NPI Information

NPI: 1174607303
Provider Name: SOUTHWEST MEDICAL ASSOCIATES INC.

Other Name: SOUTHWEST SURGICAL CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2450 W CHARLESTON BLVD
LAS VEGAS, NV
ZIP 89102
Phone: (702) 877-8660
Get Directions

SOUTHWEST MEDICAL ASSOCIATES INC. is an ambulatory surgical clinic center in Las Vegas, NV. SOUTHWEST MEDICAL ASSOCIATES INC. NPI is 1174607303. The provider is registered as an organization entity type.
The provider Other Name Is Southwest Surgical Center.

The provider's business location address is:

2450 W CHARLESTON BLVD
LAS VEGAS, NV
ZIP 89102-179
Phone: (702) 877-8660
Fax: (702) 258-1322

The provider's authorized official is Robert B. Mcbeath .
The authorized official title is President and has the following contact phone number (702) 579-3297.

The CLIA number assigned to this NPI record is 29D0904177 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 3/27/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	29C0001000	NEVADA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	004602868	MEDICAID	NEVADA

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

NPI Synchronization or Removal

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