MEDICARE: VALLEY HOSPITAL MEDICAL CENTER

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	273R00000X	Psychiatric Hospital Unit
2	282N00000X	General Acute Care Hospital

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	667-HOS-52	OTHER	NV	STATE LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1417947490
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY HOSPITAL MEDICAL CENTER

Provider Business Mailing Address
First Line	:	620 SHADOW LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4119
Country	:	US
Telephone Number	:	702-388-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	620 SHADOW LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4119
Country	:	US
Telephone Number	:	702-388-4000
Fax Number	:

Authorized Official
Title or Position	:	CFO, SENIOR VP
Name	:	STEVE FILTON
Credential	:
Telephone Number	:	610-768-3300

Provider Enumeration Date	:	10/21/2005
Last Update Date	:	08/07/2025

620 SHADOW LN , VALLEY HOSPITAL
LAS VEGAS, NV
89106-4119

Practice Phone: 702-671-8550
Practice Fax: