Healthcare Provider Details
I. General information
NPI: 1154317964
Provider Name (Legal Business Name): DESERT SPRINGS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/27/2005
Last Update Date: 01/24/2022
Certification Date: 01/24/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2075 E FLAMINGO RD
LAS VEGAS NV
89119-5188
US
IV. Provider business mailing address
2075 E FLAMINGO RD
LAS VEGAS NV
89119-5188
US
V. Phone/Fax
- Phone: 702-733-8800
- Fax:
- Phone: 702-733-8800
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | 641HOS-20 |
| License Number State | NV |
VIII. Authorized Official
Name:
STEVE
FILTON
Title or Position: CFO, SENIOR, VP
Credential:
Phone: 610-768-3300