Organization
MT. GRANT GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J SCHUMANN (BUSINESS OFFICE MANAGER)
(775) 945-2461
Entity
Organization
Contact information
Practice address
1ST AND A ST, HAWTHORNE, NV 89415-1510
(775) 945-2461
(775) 945-2359
Mailing address
PO BOX 1510, HAWTHORNE, NV 89415-1510
(775) 945-2461
(775) 945-2359
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
5398PCS-2
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100511839
—
NV
01
—
9005048440
NEVADA MEDICAID API
NV
Enumeration date
04/03/2012
Last updated
04/03/2012
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