Healthcare Provider Details

I. General information

NPI: 1104870187
Provider Name (Legal Business Name): SUNRISE MOUNTAINVIEW HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 N TENAYA WAY
LAS VEGAS NV
89128-0436
US

IV. Provider business mailing address

3100 N TENAYA WAY
LAS VEGAS NV
89128-0436
US

V. Phone/Fax

Practice location:
  • Phone: 702-255-5000
  • Fax: 702-255-5074
Mailing address:
  • Phone: 702-255-5000
  • Fax: 702-255-5074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SONIA BAUGHMAN
Title or Position: CFO
Credential:
Phone: 702-962-9003