University Medical Center of Southern Nevada
Organization Active NPI Durable Medical Equipment & Medical Supplies · Las Vegas, NV
NPI 1609900521 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1609900521
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA
- Practice address
- 1800 W Charleston Blvd
Las Vegas, NV 89102-2329 - Phone
- (702) 383-2000
- Fax
- (702) 383-2067
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Kathleen Silver
- Title
- Interim Chief Executive Officer
- Phone
- (702) 383-3860
Other NPIs on the same Medicare enrollment 15
Corporate family (same tax ID) 15
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Univ Medical Ctr
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Mailing address
1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33-02877 | Medicaid | NV |
Other names
- University Medical Center
Other providers in Las Vegas, NV
- University Medical Center of Southern Nevada
- University Medical Center of Southern Nevada
- University Medical Center of Southern Nevada
- University Medical Center of Southern Nevada
- University Medical Center of Southern Nevada
- University Medical Center of Southern Nevada
- University Medical Center of Southern Nevada
- University Medical Center of Southern Nevada
- University Medical Center of Southern Nevada
- University Medical Center of Southern Nevada
All providers in Las Vegas, NV · Durable Medical Equipment & Medical Supplies in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.