# SPRING VALLEY SURGERY CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154481984
- **Authorized official:** GODWIN O MADUKA M.D., PHARMD (MEDICAL DIRECTOR)
- **Authorized official phone:** (702) 880-4193

## Contact information

- **Practice address:** 3835 S. JONES BLVD, SUITE 103, LAS VEGAS, NV 89103-2283
- **Practice address phone:** (702) 227-4440
- **Practice address fax:** (702) 227-4386
- **Mailing address:** PO BOX 30550, LAS VEGAS, NV 89173-0550
- **Mailing address phone:** (702) 227-4440
- **Mailing address fax:** (702) 227-4386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 2000003 426 | NV | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | NV20011105262 | NV | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 04/12/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100500333 | — | NV |