MEDICARE: SUNRISE MOUNTAIN VIEW HOSPITAL, INC.

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	261QE0002X	Emergency Care Clinic/Center

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821667973
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNRISE MOUNTAIN VIEW HOSPITAL, INC.

Provider Business Mailing Address
First Line	:	3100 N TENAYA WAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0436
Country	:	US
Telephone Number	:	702-962-9005
Fax Number	:	702-962-5508

Provider Business Practice Location Address
First Line	:	9860 WEST SKYE CANYON PARK DRIVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89166
Country	:	US
Telephone Number	:	702-962-9005
Fax Number	:	702-962-5508

Authorized Official
Title or Position	:	CFO
Name	:	MATTHEW COVA
Credential	:
Telephone Number	:	702-962-9005

Provider Enumeration Date	:	06/23/2021
Last Update Date	:	04/10/2026

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