BOULDER CITY HOSPITAL INC. (NPI# 1356778492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356778492 |
| Entity Type | Organization |
| Organization Name | BOULDER CITY HOSPITAL INC. |
| Practice Address |
901 Adams Blvd Boulder City NV 89005-2213 |
| Practice Telephone | 7022934111 |
| Practice Fax Number | 7022930430 |
| Mailing Telephone | 7022934111 |
| Mailing Fax Number | 7022930430 |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2014-07-28 |
| Authorized Official Name | MRS. FREZEWED BELETE (CONTROLLER) |
| Authorized Official Telephone | 7022945711 |
| Is Organization Subpart | Y |
| Parent Organization Name | BOULDER CITY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 273Y00000X | Rehabilitation Unit | 633RUH-19 | NV | Hospital Units |
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
633RUH-19 | NV | Hospitals |
| Y | 273R00000X | Psychiatric Unit | 633RUH-19 | NV | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184050916 | Boulder City Hospital Inc. | General Acute Care Hospital | 901 Adams Blvd, Boulder City, NV 89005-2213 | 2013-09-25 |
| Street Address |
901 ADAMS BLVD |
| City | BOULDER CITY |
| State | NV |
| Zip Code | 89005-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053451955 | Yun Namkung | Internal Medicine | 901 Adams Blvd, Boulder City, NV 89005-2213 | 2007-02-08 |
| 1710504691 | Melissa Hart | Nurse Practitioner | 901 Adams Blvd, Boulder City, NV 89005-2213 | 2020-06-26 |
| 1720600067 | Christian Wesley Johnson | Physical Therapist | 901 Adams Blvd, Boulder City, NV 89005-2299 | 2020-05-09 |
| 1437517984 | Starfield Emergency Physicians, Pllc | Physician Assistant | 901 Adams Blvd, Boulder City, NV 89005-2213 | 2016-01-29 |
| 1184050916 | Boulder City Hospital Inc. | General Acute Care Hospital | 901 Adams Blvd, Boulder City, NV 89005-2213 | 2013-09-25 |
| 1720348725 | John M Clair Do Inc | Hospitalist | 901 Adams Blvd, Boulder City, NV 89005-2213 | 2012-05-23 |
| 1912264524 | Millennium Hospitalist Company of Boulder City | Hospitalist | 901 Adams Blvd, Boulder City, NV 89005-2213 | 2012-04-19 |
| 1861789653 | Ashley Glynn | Pharmacist | 901 Adams Blvd, Boulder City, NV 89005-2213 | 2011-06-30 |
| 1124320726 | Boulder City Hospital Inc | General Acute Care Hospital | 901 Adams Blvd, Boulder City, NV 89005-2213 | 2010-12-02 |
| 1063713790 | Hoover Emergency Physicians LLC | Emergency Medicine | 901 Adams Blvd, Boulder City, NV 89005-2213 | 2010-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763119 | Hitesh R Amin | Pharmacist | Sav-on Pharmacy, 1008 Nevada Way, Boulder City, NV 89005 | 2020-06-08 |
| 1871013086 | Wesley King | Rehabilitation Practitioner | 200 Wilson Circle, Boulder, NV 89005 | 2017-06-20 |
| 1568998714 | Bailey Godfrey | Registered Nurse | 1401 Pueblo Drive, Boulder City, NV 89005 | 2017-05-10 |
| 1972970127 | Elizabeth Anne Jones | Counselor | 202 Rainier Court, Boulder City, NV 89005 | 2015-08-24 |
| 1871913855 | Joy Reynolds | Rehabilitation Practitioner | 100 St. Jude's Street, Boulder City, NV 89005 | 2014-04-17 |
| 1710222815 | Laura Lynn Rivera | Counselor | 200 Wilson Cir, Boulder City, NV 89005 | 2012-11-30 |
| 1467723528 | Sandra Lee Miller | Community Health Worker | 659 Ave. H, Boulder City, NV 89005 | 2012-01-21 |
| 1689959272 | Eliscia Wight | Pharmacist | 101 E. Lake Mead Pkwy, Henderson, NV 89005 | 2011-10-15 |
| 1285876706 | National Park Service | Ambulance | 601 Nevada Hwy, Boulder City, NV 89005 | 2009-03-30 |
| 1861614679 | Rickey L. Smith | Pharmacist | 1008 Nevada Highway, Boulder City, NV 89005 | 2007-05-02 |
| Find all providers in zip 89005 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730591389 | Don Pablo | Psychiatric Unit | 6900 N.pecos Rd, N.las Vegas, NV 89086 | 2014-05-29 |
| 1568560555 | Internal Medicine | Psychiatric Unit | 8757 Carlitas Joy Ct, Las Vegas, NV 89117-3540 | 2006-09-21 |
| 1114430311 | Prime Healthcare Services Reno LLC | Psychiatric Unit | 235 W 6th St, Reno, NV 89503-4548 | 2017-11-09 |
| 1427593078 | Erin Marie Nettles | Psychiatric Unit | 480 Galletti Way, Sparks, NV 89431-5564 | 2017-01-05 |
| 1205378817 | Nnamhs | Psychiatric Unit | 480 Galletti Way, Sparks, NV 89431-5564 | 2016-11-14 |
| 1497153530 | Prime Healthcare Services North Vista LLC | Psychiatric Unit | 1409 E Lake Mead Blvd, North Las Vegas, NV 89030-7120 | 2014-12-05 |
| 1174950406 | London Care Center, LLC | Psychiatric Unit | 2026 Silverton Dr, Henderson, NV 89074-1550 | 2013-10-01 |
| 1952665960 | Carson Tahoe Behavioral Health Services | Psychiatric Unit | 775 Fleischmann Way, Carson City, NV 89703-2995 | 2012-06-25 |
| 1407125321 | Southern Hills Medical Center, LLC | Psychiatric Unit | 9300 W Sunset Rd, Las Vegas, NV 89148-4844 | 2011-12-21 |
| 1467750034 | Phc-elko Inc | Psychiatric Unit | 2001 Errecart Blvd, Elko, NV 89801-8333 | 2011-03-07 |
| Find all providers with the same taxonomy | ||||
| City | BOULDER CITY |
| Zip Code | 89005 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.