Organization Active NPI

Boulder City Hospital Inc.

  • Critical Access Hospital
  • Boulder City, NV
National Provider Identifier
1184050916
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
633RUH-18 Issued in NV
Legal business name
BOULDER CITY HOSPITAL INC.
Practice address
901 Adams Blvd
Boulder City, NV 89005-2213
Phone
(702) 293-4111
Fax
(702) 293-0430
NPI assigned
Sep 25, 2013
Last updated
Jul 29, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
BOULDER CITY HOSPITAL INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Authorized official

Name
Mrs. Frezewed Belete
Title
Controller
Phone
(702) 293-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 633RUH-18 NV Primary

Addresses

Primary practice location

901 Adams Blvd
Boulder City, NV 89005-2213

Mailing address

901 Adams Blvd
Boulder City, NV 89005-2213
Phone (702) 293-4111

National Provider Directory

National Provider Directory
Part of
R Pramod Kumar MD

Locations

999 Adams Blvd
Boulder City, NV 89005
Phone (702) 293-4111

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1184050916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ADAMS BLVD",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052213",
            "telephone_number": "702-293-4111",
            "fax_number": "702-293-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ADAMS BLVD",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052213",
            "telephone_number": "702-293-4111",
            "fax_number": "702-293-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER CITY HOSPITAL INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOULDER CITY HOSPITAL INC.",
        "enumeration_date": "2013-09-25",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "BELETE",
        "authorized_official_first_name": "FREZEWED",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "702-293-4111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NV",
            "license": "633RUH-18",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.