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General NPI Number Information
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NPI Number | 1285490292
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Entity Type | Organization
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Legal Business Name | HENDERSON HOSPITAL
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Dates
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Enumeration Date | 02/27/2024
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 865 E LAKE MEAD PKWY
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City | HENDERSON
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State | NV
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Zip | 89015-5501
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Country | US
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Telephone | 702-369-7671
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 FIRE MESA ST
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City | LAS VEGAS
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State | NV
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Zip | 89128-9005
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Country | US
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Telephone | 702-369-7671
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Fax |
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Authorized Official
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Title or Position | EXEC VP - CFO
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Name | STEVE FILTON
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Credential |
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Telephone | 610-768-3482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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