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DE CRAIG RANCH LLC NPI 1922542968


NPI Information

NPI: 1922542968
Provider Name: DE CRAIG RANCH, LLC

Doing Business As: DIGNITY HEALTH-ST. ROSE DOMINICAN BLUE DIAMOND CAMPUS

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
4855 BLUE DIAMOND RD
LAS VEGAS, NV
ZIP 89139
Phone: (713) 637-1146
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DE CRAIG RANCH, LLC is a general acute care hospital in Las Vegas, NV. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. DE CRAIG RANCH, LLC NPI is 1922542968. The provider is registered as an organization entity type.
The provider Is Doing Business As Dignity Health-st. Rose Dominican Blue Diamond Campus.

The provider's business location address is:

4855 BLUE DIAMOND RD
LAS VEGAS, NV
ZIP 89139
Phone: (713) 637-1146
Fax: (281) 298-5311

The provider's authorized official is John Buck .
The authorized official title is President and has the following contact phone number (713) 637-1004.

The enumeration date for this NPI number is 12/9/2016 and was last updated on 10/23/2018.


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
1282N00000XGeneral Acute Care HospitalYes

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
11922542968MEDICAIDNEVADA
229-0058OTHERMEDICARE

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.