Healthcare Provider Details

I. General information

NPI: 1255306270
Provider Name (Legal Business Name): SPRING VALLEY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 W SPRING MOUNTAIN RD
LAS VEGAS NV
89117
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:
Mailing address:
  • Phone: 702-873-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number3268HOS-7
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number3268HOS-7
License Number StateNV

VIII. Authorized Official

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