NPIMap

Organization Active NPI

University Medical Center of Southern Nevada

  • Urgent Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1245067586
Registry record updated Sep 19, 2024
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
11860 Southern Highlands Pkwy Ste 100
Las Vegas, NV 89141-3304
Phone
(702) 383-6230
NPI assigned
Sep 19, 2024
Organization subpart
Yes
Parent organization
UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
William Mason Vanhouweling
Title
Chief Executive Officer
Phone
(702) 383-3862

Specialties & licenses 1

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

Addresses

Primary practice location

11860 Southern Highlands Pkwy Ste 100
Las Vegas, NV 89141-3304

Mailing address

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 15

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

View all 15

National Provider Directory

National Provider Directory
Tax ID family
Univ Medical Ctr16 organizations share this tax ID, including this one
Part of
Univ Medical Ctr

Other organizations with this tax ID 15

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

View all 15

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1245067586",
    "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": "891022329",
            "telephone_number": "702-383-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11860 SOUTHERN HIGHLANDS PKWY STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891413304",
            "telephone_number": "702-383-6230"
        }
    ],
    "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": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "VANHOUWELING",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MASON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "702-383-3862"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.