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Contact Information

PRIME HEALTHCARE SERVICES NORTH VISTA LLC
1409 E LAKE MEAD BLVD
NORTH LAS VEGAS, NV89030-7120
 Phone: 702-649-7711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Unit

273R00000X A0[7] Hospital-Psychiatric Unit
Indicates primary specialty

NPI Profile & details for PRIME HEALTHCARE SERVICES NORTH VISTA LLC

NPI Number 1497153530
LBN Legal business name PRIME HEALTHCARE SERVICES NORTH VISTA LLC
Authorized official PREM REDDY - (CHAIRMAN/PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/05/2014
Last updated 12/05/2014 - About 12 years ago
Identifiers
NV License # 649HOS-34
NV Medicaid 100502299
NV Medicaid 100502300
NV Medicaid 100502301
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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