SPC CAPITAL LLC NPI 1194775403

NPI Information

NPI: 1194775403
Provider Name: SPC CAPITAL LLC

Doing Business As: LAS VEGAS SPECIALTY SURGICAL CENTER

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

Specialization: Ambulatory Surgical

Address:
1569 E FLAMINGO RD
LAS VEGAS, NV
ZIP 89119
Phone: (702) 633-0253
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SPC CAPITAL LLC is an ambulatory surgical clinic center in Las Vegas, NV. SPC CAPITAL LLC NPI is 1194775403. The provider is registered as an organization entity type.
The provider Is Doing Business As Las Vegas Specialty Surgical Center.

The provider's business location address is:

1569 E FLAMINGO RD
LAS VEGAS, NV
ZIP 89119-131
Phone: (702) 633-0253
Fax: (702) 633-0334

The provider's authorized official is Jerry Hawley .
The authorized official title is Administrator and has the following contact phone number (702) 633-0253.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 8/22/2020.

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	4388ASC-0	NEVADA	Yes

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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