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General NPI Number Information
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NPI Number | 1457592453
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Entity Type | Organization
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Legal Business Name | DESERT VIEW REGIONAL MEDICAL CENTER HOLDINGS, LLC
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Dates
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Enumeration Date | 03/20/2009
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Last Update Date | 03/12/2014
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Provider Practice Location Address
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Address Line | 360 S LOLA LN
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City | PAHRUMP
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State | NV
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Zip | 89048
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Country | US
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Telephone | 775-751-7500
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Fax | 775-751-7835
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Provider Business Mailing Address
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Address Line | 360 S LOLA LN
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City | PAHRUMP
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State | NV
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Zip | 89048-0884
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Country | US
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Telephone | 775-751-7500
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Fax | 775-751-7835
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Authorized Official
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Title or Position | CFO
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Name | MR. KEN M RICHENS
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Credential |
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Telephone | 435-623-4924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 4054HOS-1
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License Number State | NV
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