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NPI Code Detail

MEDICARE: SBH - MONTEVISTA LLC

MEDICARE: SBH - MONTEVISTA 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2283X00000XRehabilitation Hospital
3283Q00000XPsychiatric Hospital

Other Identifiers

General Provider Information

NPI Number : 1700895299
Entity Type Code : Organization
Provider Name (Legal Business Name) : SBH - MONTEVISTA LLC
Provider Business Mailing Address
First Line : 5900 W ROCHELLE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-3304
Country : US
Telephone Number : 702-364-1111
Fax Number : 702-251-1212
Provider Business Practice Location Address
First Line : 5900 W ROCHELLE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-3304
Country : US
Telephone Number : 702-364-1111
Fax Number : 702-251-1212
Authorized Official
Title or Position : CFO
Name : MR. JAMES CAGLE
Credential :
Telephone Number : 901-969-3114
Provider Enumeration Date : 08/05/2006
Last Update Date : 05/20/2021

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Directions to “SBH - MONTEVISTA LLC ” Practice Location

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