MEDICARE: SPRING VALLEY MEDICAL CENTER

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	283Q00000X	Psychiatric Hospital	4706HOS-1	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669408928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRING VALLEY MEDICAL CENTER

Provider Business Mailing Address
First Line	:	7000 W SPRING MOUNTAIN RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-3816
Country	:	US
Telephone Number	:	702-873-2400
Fax Number	:	702-873-2710

Provider Business Practice Location Address
First Line	:	5460 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-3307
Country	:	US
Telephone Number	:	702-873-2400
Fax Number	:	702-873-2710

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	STEVE FILTON
Credential	:
Telephone Number	:	610-768-3482

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	09/09/2024

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