MEDICARE: SEVEN HILLS ASC

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	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1760033229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEVEN HILLS ASC

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	:	702-614-7456

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	:	702-614-7456

Authorized Official
Title or Position	:	VP OF REVENUE CYCLE & OPERATIONS
Name	:	JENNIFER HALVERSON
Credential	:
Telephone Number	:	206-919-8236

Provider Enumeration Date	:	09/26/2019
Last Update Date	:	09/26/2019

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Directions to “SEVEN HILLS ASC ” Practice Location

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