NPIMap

Organization Active NPI

Boulder City Hospital Inc

Doing business as Boulder City Hospital Skilled Nursing Facility

  • Skilled Nursing Facility
  • Boulder City, NV
National Provider Identifier
1831234558
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
633HOS11 Issued in NV
Legal business name
BOULDER CITY HOSPITAL INC
Doing business as
Boulder City Hospital Skilled Nursing Facility
Practice address
901 Adams Boulevard
Boulder City, NV 89005-2213
Phone
(702) 293-4111
Fax
(702) 294-5732
NPI assigned
Feb 20, 2007
Last updated
Nov 21, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
BOULDER CITY HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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
Skilled Nursing Facility 314000000X 633HOS11 NV Primary

Addresses

Primary practice location

901 Adams Boulevard
Boulder City, NV 89005-2213

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
001802839MedicaidNV

Other names 1

  • Boulder City Hospital Skilled Nursing Facility Doing business as

National Provider Directory

National Provider Directory
Part of
Boudler City Hosp

Locations

2800 E Desert Inn Rd
Ste 100
Las Vegas, NV 89121
Phone (702) 294-7499

4230 Burnham Ave
Ste 250
Las Vegas, NV 89119
Phone (703) 802-7100

5785 S Fort Apache Rd
Ste A100
Las Vegas, NV 89148
Phone (702) 822-2273

Practitioners & affiliated clinicians

Practitioners 38

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 38

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1831234558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ADAMS BOULEVARD",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052213",
            "telephone_number": "702-293-4111",
            "fax_number": "702-294-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ADAMS BOULEVARD",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052213",
            "telephone_number": "702-293-4111",
            "fax_number": "702-294-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER CITY HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOULDER CITY HOSPITAL INC",
        "enumeration_date": "2007-02-20",
        "last_updated": "2011-11-21",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NV",
            "license": "633HOS11",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001802839",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boulder City Hospital Skilled Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 21, 2011; 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.