NPIMap

Organization Active NPI

University Medical Center of Southern Nevada

  • Urgent Care Clinic/Center
  • North Las Vegas, NV
National Provider Identifier
1104538966
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA
Practice address
5860 Losee Rd
North Las Vegas, NV 89081-6595
Phone
(702) 383-3910
NPI assigned
Dec 22, 2022
Last updated
Dec 22, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Mason Vanhouweling
Title
Ceo
Phone
(702) 383-3862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

5860 Losee Rd
North Las Vegas, NV 89081-6595

Mailing address

1800 W Charleston Blvd
Las Vegas, NV 89102-2386
Phone (702) 383-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040429001053 NV Part B Supplier - Clinic/Group Practice 7315934429 Receives reassigned benefits from 497 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20050210000689 NV Part A Provider - Hospital 7315934429 11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Las Vegas, NV; North Las Vegas, NV; Henderson, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104538966. Details of each certification follow.

Hospital certification: CCN 290007

Legal name
UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA
Doing business as
UNIVERSITY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 3, 2025
Beds
541
Ownership / control type
Other
Organization structure
GovernmentNon-profit
Incorporated
Jun 1, 1931 in NV
Enrollment address
1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

Care Compare: Hospital

Medicare Care Compare
Listed as
University Medical CenterCCN 290007 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Rancho RehabilitationCCN 29T007
Ownership
Non-profit
Certified
Dec 31, 1995

This is a unit of this hospital with its own CMS Certification Number. Care Compare reports it separately, and it has no NPI of its own. How units are connected

National Provider Directory

National Provider Directory
Part of
Univ Medical Center So

Locations

5860 Losee Rd
North Las Vegas, NV 89081
Phone (702) 383-3910

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William Van Houwelling Individual W-2 Managing EmployeeCeo Apr 28, 2014
Clark County Comptrollers Office Organization, Las Vegas, NV 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

Affiliated clinicians 516

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 516

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1104538966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022386",
            "telephone_number": "702-383-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 LOSEE RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816595",
            "telephone_number": "702-383-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "VANHOUWELING",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-383-3862"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.