Healthcare Provider Details

I. General information

NPI: 1134531965
Provider Name (Legal Business Name): IPC HOSPITALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2014
Last Update Date: 05/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7391 W CHARLESTON BLVD STE 140
LAS VEGAS NV
89117-1577
US

IV. Provider business mailing address

7391 W CHARLESTON BLVD STE 140
LAS VEGAS NV
89117-1577
US

V. Phone/Fax

Practice location:
  • Phone: 702-233-0684
  • Fax:
Mailing address:
  • Phone: 702-233-0684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number StateNV

VIII. Authorized Official

Name: MARY SCHULTZ
Title or Position: CREDENTIALING PERSONELLE
Credential:
Phone: 702-233-0684