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NPI Code Detail

MEDICARE: SEVEN HILLS SURGERY CENTER LLC

MEDICARE: SEVEN HILLS SURGERY 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
1261QA1903XAmbulatory Surgical Clinic/Center3496ASC-0NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13496ASC-0OTHERNVSTATE LICENSE

General Provider Information

NPI Number : 1265519821
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEVEN HILLS SURGERY CENTER LLC
Provider Business Mailing Address
First Line : 876 SEVEN HILLS DR
Second Line :
City : HENDERSON
State : NV
Zip : 89052-4369
Country : US
Telephone Number : 702-914-2028
Fax Number : 702-914-6290
Provider Business Practice Location Address
First Line : 876 SEVEN HILLS DR
Second Line :
City : HENDERSON
State : NV
Zip : 89052-4369
Country : US
Telephone Number : 702-914-2028
Fax Number : 702-914-6290
Authorized Official
Title or Position : DIRECTOR OF BOARD/MANAGING PARTNER
Name : DR. RUDY MANTHEI
Credential : DO
Telephone Number : 702-589-4904
Provider Enumeration Date : 11/01/2006
Last Update Date : 09/11/2014

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