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Organization
MT GRANT GENERAL HOSPITAL
Active
Organization
MT GRANT GENERAL HOSPITAL
Active
Other names
Lefa L Seran Skilled Nursing Facility
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J SCHUMANN (BUSINESS OFFICE MANAGER)
(775) 945-2461
Entity
Organization
Contact information
Practice address
200 SOUTH A STREET, HAWTHORNE, NV 89415-1510
(775) 945-2461
(775) 945-2359
Mailing address
200 SOUTH A STREET, PO BOX 1510, HAWTHORNE, NV 89415-1510
(775) 945-2461
(775) 945-2359
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
651HOS-10
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV6028
BLUE CROSS
NV
Enumeration date
05/05/2006
Last updated
08/22/2020
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