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NPI Code Detail

MEDICARE: ELJEN MEDICAL HOSPITAL

MEDICARE: ELJEN MEDICAL HOSPITAL
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
1313M00000XNursing Facility/Intermediate Care Facility1181SNF10NV

Other Identifiers

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

General Provider Information

NPI Number : 1992707806
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELJEN MEDICAL HOSPITAL
Provider Business Mailing Address
First Line : 5538 DUNCAN DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-2812
Country : US
Telephone Number : 702-645-2606
Fax Number : 702-645-1478
Provider Business Practice Location Address
First Line : 5538 DUNCAN DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-2812
Country : US
Telephone Number : 702-645-2606
Fax Number : 702-645-1478
Authorized Official
Title or Position : OWNER
Name : MRS. CAROL TOOMEY
Credential :
Telephone Number : 702-645-2606
Provider Enumeration Date : 08/10/2005
Last Update Date : 05/20/2010

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Directions to “ELJEN MEDICAL HOSPITAL ” Practice Location

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