MEDICARE: HENDERSON HOSPITAL

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	:	1285490292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HENDERSON HOSPITAL

Provider Business Mailing Address
First Line	:	2700 FIRE MESA ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-9005
Country	:	US
Telephone Number	:	702-369-7671
Fax Number	:

Provider Business Practice Location Address
First Line	:	865 E LAKE MEAD PKWY
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89015-5501
Country	:	US
Telephone Number	:	702-369-7671
Fax Number	:

Authorized Official
Title or Position	:	EXEC VP - CFO
Name	:	STEVE FILTON
Credential	:
Telephone Number	:	610-768-3482

Provider Enumeration Date	:	02/27/2024
Last Update Date	:	02/29/2024

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Directions to “HENDERSON HOSPITAL ” Practice Location

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