Organization Active NPI

Millennium Hospitalist Company of Boulder City

Doing business as MHC of Boulder City

  • Hospitalist Physician
  • Boulder City, NV
National Provider Identifier
1912264524
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
13058 Issued in NV
Legal business name
MILLENNIUM HOSPITALIST COMPANY OF BOULDER CITY
Doing business as
MHC of Boulder City
Practice address
901 Adams Blvd
Boulder City, NV 89005-2213
Phone
(702) 453-3799
Fax
(702) 453-5741
NPI assigned
Apr 19, 2012
Last updated
Jul 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Lori Labrecque
Title
Accounts MGR
Phone
(702) 453-3799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X 13058 NV Primary

Addresses

Primary practice location

901 Adams Blvd
Boulder City, NV 89005-2213

Mailing address

3375 S Rainbow Blvd
Unit 80751
Las Vegas, NV 89180-8801
Phone (702) 453-3799

Other names 1

  • MHC of Boulder City Doing business as

National Provider Directory

National Provider Directory

Locations

801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310

3375 S Rainbow Blvd
Unit 80751
Las Vegas, NV 89180

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1912264524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 S RAINBOW BLVD",
            "address_2": "UNIT 80751",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891808801",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        },
        {
            "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": "702-453-3799",
            "fax_number": "702-453-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM HOSPITALIST COMPANY OF BOULDER CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "LABRECQUE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "ACCOUNTS MGR",
        "authorized_official_telephone_number": "702-453-3799"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "13058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MHC of Boulder City",
            "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 Jul 30, 2015; 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.