# BOULDER CITY HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BOULDER CITY HOSPITAL INC
- **Other names:** Boulder City Hospital Skilled Nursing Facility
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831234558
- **Legal business name:** BOULDER CITY HOSPITAL INC
- **Authorized official:** MRS. FREZEWED BELETE (CONTROLLER)
- **Authorized official phone:** (702) 293-4111

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 633HOS11 | NV | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 11/21/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001802839 | — | NV |