Organization
MMC OF NEVADA LLC
Active
Parent organization
MMC OF NEVADA LLC
Other names
Mesa View Regional Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
MMC OF NEVADA LLC
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) 346-7037
(702) 346-7031
Mailing address
PO BOX 847743, DALLAS, TX 75284-7743
(702) 346-7037
(702) 346-7031
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
08/11/2020
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