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NPI Code Detail

MEDICARE: UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA

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
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1992367007
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA
Provider Business Mailing Address
First Line : 1800 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2386
Country : US
Telephone Number : 702-383-2000
Fax Number :
Provider Business Practice Location Address
First Line : 2031 N BUFFALO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0269
Country : US
Telephone Number : 702-383-3750
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : WILLIAM MASON VANHOUWELING
Credential :
Telephone Number : 702-383-2000
Provider Enumeration Date : 06/28/2019
Last Update Date : 06/28/2019

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

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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