MEDICARE: SUNRISE HOSPITAL AND MEDICAL CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0002X	Emergency Care Clinic/Center

General Provider Information

NPI Number	:	1023867868
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNRISE HOSPITAL AND MEDICAL CENTER, LLC

Provider Business Mailing Address
First Line	:	1501 WAGON WHEEL DR
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89002-9314
Country	:	US
Telephone Number	:	702-731-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 WAGON WHEEL DR
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89002-9314
Country	:	US
Telephone Number	:	702-731-8000
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TODD P SKLAMBERG
Credential	:
Telephone Number	:	702-961-9001

Provider Enumeration Date	:	05/14/2024
Last Update Date	:	04/08/2026

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