Healthcare Provider Details

I. General information

NPI: 1669408928
Provider Name (Legal Business Name): SPRING VALLEY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5460 W SAHARA AVE
LAS VEGAS NV
89146-3307
US

IV. Provider business mailing address

7000 W SPRING MOUNTAIN RD
LAS VEGAS NV
89117-3816
US

V. Phone/Fax

Practice location:
  • Phone: 702-873-2400
  • Fax: 702-873-2710
Mailing address:
  • Phone: 702-873-2400
  • Fax: 702-873-2710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number4706HOS-1
License Number StateNV

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: VICE PRESIDENT
Credential:
Phone: 610-768-3482