Organization
MMC OF NEVADA LLC
Active
Other names
Mesa View Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY MICHAEL COOPER (SVP FINANCE OP/AUTHORIZED OFFICIAL)
(615) 221-3840
Entity
Organization
Contact information
Practice address
1299 BERTHA HOWE AVE, MESQUITE, NV 89027-7500
(702) 346-8040
(702) 346-7031
Mailing address
PO BOX 847743, DALLAS, TX 75284-7743
(702) 346-8040
(702) 346-7031
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
282N00000X
General Acute Care Hospital
3818HOS-3
NV
282NC0060X
Critical Access Hospital
Primary
3818HOS-3
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100505424
—
NV
05
—
100505425
—
NV
05
—
884024
—
AZ
05
—
XHSP33686
—
CA
05
—
XHSP43686
—
CA
Enumeration date
05/23/2006
Last updated
08/11/2020
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