# BOULDER CITY HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Boulder City Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811412497
- **Authorized official:** MR. DOUGLAS B LEWIS (CFO)
- **Authorized official phone:** (702) 293-4111

## Contact information

- **Practice address:** 999 ADAMS BLVD, BOULDER CITY, NV 89005-2244
- **Practice address phone:** (702) 293-4111
- **Practice address fax:** (702) 294-5732
- **Mailing address:** 901 ADAMS BLVD, BOULDER CITY, NV 89005-2213
- **Mailing address phone:** (702) 293-4111
- **Mailing address fax:** (702) 294-5732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/04/2017
- **Last updated:** 02/14/2024