# SPC CAPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LAS VEGAS SPECIALTY SURGICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194775403
- **Authorized official:** MR. JERRY HAWLEY (ADMINISTRATOR)
- **Authorized official phone:** (702) 633-0253

## Contact information

- **Practice address:** 1569 E FLAMINGO RD, LAS VEGAS, NV 89119-5131
- **Practice address phone:** (702) 633-0253
- **Practice address fax:** (702) 633-0334
- **Mailing address:** 1569 E FLAMINGO RD, LAS VEGAS, NV 89119-5131
- **Mailing address phone:** (702) 633-0253
- **Mailing address fax:** (702) 633-0334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 4388ASC-0 | NV | Yes |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 08/22/2020