Healthcare Provider Details

I. General information

NPI: 1588582977
Provider Name (Legal Business Name): WEST HENDERSON HOSPITAL MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 09/28/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4220 W CACTUS AVE
LAS VEGAS NV
89141
US

IV. Provider business mailing address

1155 RAIDERS WAY
HENDERSON NV
89052-4670
US

V. Phone/Fax

Practice location:
  • Phone: 702-369-7671
  • Fax:
Mailing address:
  • Phone: 702-369-7671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: EXEC VP - CFO
Credential:
Phone: 610-768-3300