MEDICARE: UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA

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	3336C0002X	Clinic Pharmacy	PH1067	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942335823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA

Provider Business Mailing Address
First Line	:	2300 S RANCHO DR
Second Line	:	SUITE 205
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-4506
Country	:	US
Telephone Number	:	702-383-2769
Fax Number	:	702-388-4114

Provider Business Practice Location Address
First Line	:	2300 S RANCHO DR
Second Line	:	SUITE 205
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-4506
Country	:	US
Telephone Number	:	702-383-2769
Fax Number	:	702-388-4114

Authorized Official
Title or Position	:	CEO
Name	:	KATHLEEN SILVER
Credential	:
Telephone Number	:	702-383-3860

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	03/07/2023

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Directions to “UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA ” Practice Location

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