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NPI Code Detail

MEDICARE: SANTA ROSA MEDICAL CENTERS OF NEVADA, INC.

MEDICARE: SANTA ROSA MEDICAL CENTERS OF NEVADA, INC.
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
13336H0001XHome Infusion Therapy Pharmacy
23336C0002XClinic Pharmacy

General Provider Information

NPI Number : 1831821867
Entity Type Code : Organization
Provider Name (Legal Business Name) : SANTA ROSA MEDICAL CENTERS OF NEVADA, INC.
Provider Business Mailing Address
First Line : 4161 S EASTERN AVE STE B3
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5483
Country : US
Telephone Number : 702-803-2222
Fax Number : 702-989-4755
Provider Business Practice Location Address
First Line : 7021 SPRING MOUNTAIN RD STE 7021
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-3818
Country : US
Telephone Number : 702-803-2222
Fax Number : 702-989-4755
Authorized Official
Title or Position : MANAGING DIRECTOR
Name : SYED IRSHAD PERVAIZ
Credential :
Telephone Number : 702-803-2222
Provider Enumeration Date : 06/28/2022
Last Update Date : 09/15/2022

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Directions to “SANTA ROSA MEDICAL CENTERS OF NEVADA, INC. ” Practice Location

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