MEDICARE: CENTENNIAL HILLS HOSPITAL MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician
2	261QE0002X	Emergency Care Clinic/Center

General Provider Information

NPI Number	:	1295319085
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTENNIAL HILLS HOSPITAL MEDICAL CENTER

Provider Business Mailing Address
First Line	:	7230 N DECATUR BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-2706
Country	:	US
Telephone Number	:	702-534-7200
Fax Number	:	702-534-7201

Provider Business Practice Location Address
First Line	:	7230 N DECATUR BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-2706
Country	:	US
Telephone Number	:	702-534-7200
Fax Number	:	702-534-7201

Authorized Official
Title or Position	:	EXEC VP - CFO
Name	:	STEVE FILTON
Credential	:
Telephone Number	:	610-768-3482

Provider Enumeration Date	:	05/08/2021
Last Update Date	:	07/19/2023

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