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NPI Code Detail

MEDICARE: DESERT PARKWAY BEHAVIORAL HEALTHCARE HOSPITAL, LLC

MEDICARE: DESERT PARKWAY BEHAVIORAL HEALTHCARE HOSPITAL, LLC
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
1283Q00000XPsychiatric Hospital

Other Identifiers

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

General Provider Information

NPI Number : 1871934877
Entity Type Code : Organization
Provider Name (Legal Business Name) : DESERT PARKWAY BEHAVIORAL HEALTHCARE HOSPITAL, LLC
Provider Business Mailing Address
First Line : 3247 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2412
Country : US
Telephone Number : 702-776-3500
Fax Number : 702-776-3511
Provider Business Practice Location Address
First Line : 3247 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2412
Country : US
Telephone Number : 702-776-3500
Fax Number : 702-776-3511
Authorized Official
Title or Position : SVP/ GENERAL COUNSEL
Name : LAURA SANDERS
Credential :
Telephone Number : 248-905-5091
Provider Enumeration Date : 07/08/2013
Last Update Date : 08/25/2014

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