Healthcare Provider Details
I. General information
NPI: 1770150914
Provider Name (Legal Business Name): VALLEY HOSPITAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/07/2021
Last Update Date: 01/24/2022
Certification Date: 01/24/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
150 E HARMON AVE
LAS VEGAS NV
89109-4533
US
IV. Provider business mailing address
150 E HARMON AVE
LAS VEGAS NV
89109-4533
US
V. Phone/Fax
- Phone: 702-546-0911
- Fax: 702-546-5040
- Phone: 702-546-0911
- Fax: 702-546-5040
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:
STEVE
FILTON
Title or Position: EXECUTIVE VP - CFO
Credential:
Phone: 610-768-3482