NPIMap

Organization Active NPI

Southern Hills Medical Center, LLC

Doing business as Southern Hill Hospital and Medical Center - ER at the Lakes

  • Emergency Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1114576857
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
SOUTHERN HILLS MEDICAL CENTER, LLC
Doing business as
Southern Hill Hospital and Medical Center - ER at the Lakes
Practice address
3325 S Fort Apache Rd
Las Vegas, NV 89117-6360
Phone
(702) 962-0500
Fax
(702) 916-9009
NPI assigned
Sep 5, 2019
Last updated
Apr 10, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHERN HILLS MEDICAL CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
Jason Schwan
Title
Cfo
Phone
(702) 916-9002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X NU Primary

Addresses

Primary practice location

3325 S Fort Apache Rd
Las Vegas, NV 89117-6360

Mailing address

9300 W Sunset Rd
Las Vegas, NV 89148-4844
Phone (702) 916-9002

Other identifiers 6

IdentifierTypeStateIssuer
XHSP43697MedicaidCA
100502481MedicaidNV
100502483MedicaidNV
XHSP33697MedicaidCA
100502482MedicaidNV
926769MedicaidAZ

Other names 1

  • Southern Hill Hospital and Medical Center - ER at the Lakes Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

National Provider Directory

National Provider Directory
Tax ID family
Southern Hills Medical Center LLC11 organizations share this tax ID, including this one
Part of
Southern Hills Medical Center LLC

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3325 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 962-0500

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1114576857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 W SUNSET RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484844",
            "telephone_number": "702-916-9002",
            "fax_number": "702-916-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 S FORT APACHE RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891176360",
            "telephone_number": "702-962-0500",
            "fax_number": "702-916-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HILLS MEDICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN HILLS MEDICAL CENTER, LLC",
        "enumeration_date": "2019-09-05",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "SCHWAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "702-916-9002"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XHSP43697",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100502481",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100502483",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XHSP33697",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100502482",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "926769",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Southern Hill Hospital and Medical Center - ER at the Lakes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.