Organization
DE CRAIG RANCH, LLC
Active
Parent organization
DE CRAIG RANCH, LLC
Other names
Dignity Health St Rose Dominican West Flamingo 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
9880 W FLAMINGO RD, LAS VEGAS, NV 89147
(713) 637-1146
(281) 298-5311
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
—
1740724780
—
NV
01
—
29-0058
MEDICARE
—
Enumeration date
12/09/2016
Last updated
10/23/2018
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