GREEN VALLEY SURGERY CENTER LLC


Address: 7365 S Pecos Rd, Las Vegas, NV 89120-3768
Phone: 7023550816

GREEN VALLEY SURGERY CENTER LLC (NPI# 1487187076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487187076
Entity Type Organization
Organization Name GREEN VALLEY SURGERY CENTER LLC
Practice Address 7365 S Pecos Rd
Las Vegas
NV 89120-3768
Mailing Address 1012 Corsica Ln
Las Vegas
NV 89144-1252
Practice Telephone 7023550816
Mailing Telephone 7023550816
Enumeration Date 2017-04-10
Last Update Date 2017-04-10
Authorized Official Name CHERYL KITTELSON (CLINICAL DIRECTOR)
Authorized Official Telephone 7023550816
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Office Location

Street Address 7365 S PECOS RD
City LAS VEGAS
State NV
Zip Code 89120-3768

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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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Competitor

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City LAS VEGAS
Zip Code 89120

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Dataset Information

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.

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