1407405145 NPI number — SUNRISE MOUNTAIN VIEW HOSPITAL, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407405145 NPI number — SUNRISE MOUNTAIN VIEW HOSPITAL, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SUNRISE MOUNTAIN VIEW HOSPITAL, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407405145
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/05/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3100 N TENAYA WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89128-0436
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-962-9005
Provider Business Mailing Address Fax Number:
702-962-5508

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7207 ALIANTE PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89084-2373
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-962-5100
Provider Business Practice Location Address Fax Number:
702-962-5508
Provider Enumeration Date:
09/05/2019

Additional Information

Authorized Official

Authorized Official Last Name:
KILLIAN
Authorized Official First Name:
STEVE
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
702-812-0525

Provider Taxonomy Codes

  • Taxonomy code: 261QE0002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 380329 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: XHSP32789 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: XHSP42789 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 001202006 , issued by the state of ( NV ) . This identifiers is of the category "MEDICAID".
  • Identifier: HS397OP , issued by the state of ( AK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 001102006 , issued by the state of ( NV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1002006 , issued by the state of ( NV ) . This identifiers is of the category "MEDICAID".
  • Identifier: HS397IP , issued by the state of ( AK ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com