DE CRAIG RANCH, LLC (NPI# 1922542968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922542968 |
| Entity Type | Organization |
| Organization Name | DE CRAIG RANCH, LLC |
| Other Organization Name | DIGNITY HEALTH-ST. ROSE DOMINICAN BLUE DIAMOND CAMPUS |
| Practice Address |
4855 Blue Diamond Rd Las Vegas NV 89139 |
| Mailing Address |
8686 New Trails Dr Suite 100 The Woodlands TX 77381-1176 |
| Practice Telephone | 7136371146 |
| Practice Fax Number | 2812985311 |
| Mailing Telephone | 7136371146 |
| Mailing Fax Number | 2812985311 |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2018-10-23 |
| Authorized Official Name | JOHN BUCK (PRESIDENT) |
| Authorized Official Telephone | 7136371004 |
| Is Organization Subpart | Y |
| Parent Organization Name | DE CRAIG RANCH, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | 29-0058 | 01 | |
| NV | 1922542968 | 05 |
| Other Name | Type Code |
|---|---|
| Dignity Health-St. Rose Dominican Blue Diamond Campus | Doing Business As Name - Organization |
| Dignity St. Rose - Blue Diamond | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457895336 | De Craig Ranch, LLC | General Acute Care Hospital | 4980 W Sahara Ave, Las Vegas, NV 89102 | 2016-12-12 |
| 1578007514 | De Craig Ranch, LLC | General Acute Care Hospital | 1550 West Craig Rd, North Las Vegas, NV 89032 | 2016-12-09 |
| 1740724780 | De Craig Ranch, LLC | General Acute Care Hospital | 9880 W Flamingo Rd, Las Vegas, NV 89147 | 2016-12-09 |
| Street Address |
4855 BLUE DIAMOND RD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740927 | Vituity - Nevada Koury & Partners Pllc | Emergency Medicine | 4855 Blue Diamond Rd, Las Vegas, NV 89139-7602 | 2020-11-02 |
| 1851850226 | Dignity Select Nevada LLC | Clinic/Center | 4855 Blue Diamond Rd, Las Vegas, NV 89139-7602 | 2019-03-15 |
| 1881199107 | Clark Schillinger Emergency Group, PC | Physician Assistant | 4855 Blue Diamond Rd, Las Vegas, NV 89139-7602 | 2018-03-28 |
| 1326540956 | Pr Acquisition Corporation | Clinic/Center | 4855 Blue Diamond Rd, Las Vegas, NV 89139-7602 | 2018-02-28 |
| 1356855126 | Imaging Associates of Nevada, Pllc | Radiology | 4855 Blue Diamond Rd, Las Vegas, NV 89139-7602 | 2017-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440116 | Cynrg Enterprises LLC | Marriage & Family Therapist | 6578 Creekside Cellars Court, Las Vegas, NV 89139 | 2020-02-27 |
| 1851847404 | Sports LLC | Physical Therapist | 7770 Dean Martin Dr Ste 307, Las Vegas, NV 89139 | 2016-09-01 |
| 1790134179 | Jubert C Aranas LLC | Dentist | 7460 S. Rainbow Blvd., Suite 100, Las Vegas, NV 89139 | 2016-06-07 |
| 1245533207 | Maryanne D. Phillips Md Apc | Anesthesiology | 7835 S Rainbow Bl, Ste 15, Las Vegas, NV 89139 | 2010-12-14 |
| 1093015612 | Eboni Abah | Behavioral Analyst | 777 South Jones Ave, Las Vegas, NV 89139 | 2010-10-29 |
| 1669600896 | Min Kyu Kim | Dentist | 8035 S Rainbow Blvd # 102, Las Vegas, NV 89139 | 2009-06-25 |
| 1790924587 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 3692 Blue Diamond Road, Las Vegas, NV 89139 | 2009-02-18 |
| 1487820973 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 4800 Blue Diamond Rd, Las Vegas, NV 89139 | 2008-05-05 |
| 1588842702 | Watanabe Diamond Dental Group, Professional Corporation | Dentist | 4380 Blue Diamond Road, Suite 102, Las Vegas, NV 89139 | 2008-02-11 |
| 1710186937 | Gerard Anthony Bozman | Chiropractor | 8050 Dean Martin, Las Vegas, NV 89139 | 2007-07-17 |
| Find all providers in zip 89139 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605229 | Ronald Kenan | General Acute Care Hospital | 533 Shewsbury Ave, Las Vegas, NV 89178-2414 | 2020-10-08 |
| 1407363070 | Hirk LLC | General Acute Care Hospital | 7220 Mira Vista St, Las Vegas, NV 89120-3025 | 2018-01-04 |
| 1457895336 | De Craig Ranch, LLC | General Acute Care Hospital | 4980 W Sahara Ave, Las Vegas, NV 89102 | 2016-12-12 |
| 1346604790 | Jean-marie Swaine, LLC | General Acute Care Hospital | 2450 Granada Bluff Ct, Las Vegas, NV 89135-1341 | 2016-04-12 |
| 1023479755 | Anesthesiology Consultants, Inc | General Acute Care Hospital | 7220 S Cimarron Rd Ste 230, Las Vegas, NV 89113-2173 | 2016-03-08 |
| 1336540491 | Vegas Hospital Care LLC | General Acute Care Hospital | 8656 W Patrick Lane, Las Vegas, NV 89148 | 2014-09-09 |
| 1639585912 | Roy Gradney | General Acute Care Hospital | 2929 Cape Verde Ln, Las Vegas, NV 89128-7237 | 2014-07-07 |
| 1487771812 | Centennial Hills Hospital Medical Center | General Acute Care Hospital | 6900 N Durango Drive, Las Vegas, NV 89149 | 2007-03-22 |
| 1558453571 | Veterans Administration | General Acute Care Hospital | 5516 Vansville Way, Las Vegas, NV 89130-3601 | 2006-09-28 |
| 1831189638 | Summerlin Hospital Medical Center L L C | General Acute Care Hospital | 657 Town Center Dr, Las Vegas, NV 89144 | 2005-10-24 |
| Find all providers in LAS VEGAS | ||||
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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.