MEDICARE: VALLEY VIEW SURGERY CENTER LIMITED PARTNERSHIP

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	261QA1903X	Ambulatory Surgical Clinic/Center	489ASC-8	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366400335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY VIEW SURGERY CENTER LIMITED PARTNERSHIP

Provider Business Mailing Address
First Line	:	1330 S VALLEY VIEW BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1865
Country	:	US
Telephone Number	:	702-870-7101
Fax Number	:

Provider Business Practice Location Address
First Line	:	1330 S VALLEY VIEW BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1865
Country	:	US
Telephone Number	:	702-870-7101
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	KIMBERLY WOOD
Credential	:
Telephone Number	:	828-236-3027

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	08/31/2007

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