Healthcare Provider Details
I. General information
NPI: 1750296927
Provider Name (Legal Business Name): SOUTHERN HILLS MEDICAL CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2475 VIA INSPIRADA
HENDERSON NV
89044-2073
US
IV. Provider business mailing address
2475 VIA INSPIRADA
HENDERSON NV
89044-2073
US
V. Phone/Fax
- Phone: 702-962-0900
- Fax:
- Phone: 702-962-0900
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QE0002X |
| Taxonomy | Emergency Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JASON
SCHWAN
Title or Position: CFO
Credential:
Phone: 702-916-5000