# MT GRANT GENERAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lefa L Seran Skilled Nursing Facility
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073561718
- **Authorized official:** GREGORY J SCHUMANN (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (775) 945-2461

## Contact information

- **Practice address:** 200 SOUTH A STREET, HAWTHORNE, NV 89415-1510
- **Practice address phone:** (775) 945-2461
- **Practice address fax:** (775) 945-2359
- **Mailing address:** 200 SOUTH A STREET, PO BOX 1510, HAWTHORNE, NV 89415-1510
- **Mailing address phone:** (775) 945-2461
- **Mailing address fax:** (775) 945-2359

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 651HOS-10 | NV | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | NV6028 | BLUE CROSS | NV |