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Organization

DE CRAIG RANCH, LLC

Active
Parent organization
DE CRAIG RANCH, LLC
Other names
Dignity Health-St. Rose Dominican North Las Vegas Campus
Organization subpart
Yes

Provider details

NPI number
Legal business name
DE CRAIG RANCH, LLC
Authorized official
JOHN BUCK (PRESIDENT)
(713) 637-1004
Entity
Organization

Contact information

Practice address
1550 W CRAIG RD STE 100, NORTH LAS VEGAS, NV 89032-0224
(702) 777-3615
(702) 642-0808
Mailing address
8686 NEW TRAILS DR, SUITE 100, THE WOODLANDS, TX 77381-1176
(713) 637-1146
(281) 298-5311

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1578007514
NV
01
290058
MEDICARE
NV
Enumeration date
12/09/2016
Last updated
09/28/2021
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