MEDICARE: UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA

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	273Y00000X	Rehabilitation Hospital Unit	665HOS	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	:	1881727360
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA

Provider Business Mailing Address
First Line	:	1800 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2329
Country	:	US
Telephone Number	:	702-383-2000
Fax Number	:	702-383-2067

Provider Business Practice Location Address
First Line	:	4333 N RANCHO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-3407
Country	:	US
Telephone Number	:	702-656-0467
Fax Number	:	702-658-3418

Authorized Official
Title or Position	:	INTERIM CHIEF EXECUTIVE OFFICER
Name	:	KATHLEEN SILVER
Credential	:
Telephone Number	:	702-383-3860

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	08/22/2020

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Directions to “UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA ” Practice Location

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