MEDICARE: SUMMERLIN HOSPITAL MEDICAL CENTER L L C

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	261QE0002X	Emergency Care Clinic/Center

General Provider Information

NPI Number	:	1861234619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMMERLIN HOSPITAL MEDICAL CENTER L L C

Provider Business Mailing Address
First Line	:	10290 W FLAMINGO RD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-2653
Country	:	US
Telephone Number	:	702-369-7671
Fax Number	:

Provider Business Practice Location Address
First Line	:	10290 W FLAMINGO RD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-2653
Country	:	US
Telephone Number	:	702-369-7671
Fax Number	:

Authorized Official
Title or Position	:	EXEC VP - CFO
Name	:	STEVE FILTON
Credential	:
Telephone Number	:	610-768-3482

Provider Enumeration Date	:	06/12/2024
Last Update Date	:	06/12/2024

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Directions to “SUMMERLIN HOSPITAL MEDICAL CENTER L L C ” Practice Location

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