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NPI Code Detail

MEDICARE: SOUTHERN HILLS MEDICAL CENTER, LLC

MEDICARE: SOUTHERN HILLS MEDICAL CENTER, 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
1261QE0002XEmergency Care Clinic/Center

Other Identifiers

General Provider Information

NPI Number : 1861061723
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHERN HILLS MEDICAL CENTER, LLC
Provider Business Mailing Address
First Line : 9300 W SUNSET RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-4844
Country : US
Telephone Number : 702-916-9002
Fax Number : 702-916-9009
Provider Business Practice Location Address
First Line : 10770 LAS VEGAS BOULEVARD SOUTH
Second Line :
City : LAS VEGAS
State : NV
Zip : 89183-5436
Country : US
Telephone Number : 702-916-9002
Fax Number : 702-916-9009
Authorized Official
Title or Position : CFO
Name : JENNIFER LE
Credential :
Telephone Number : 702-916-9002
Provider Enumeration Date : 06/23/2021
Last Update Date : 06/23/2021

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Directions to “SOUTHERN HILLS MEDICAL CENTER, LLC ” Practice Location

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