Organization
BOULDER CITY HOSPITAL INC
Active
Parent organization
BOULDER CITY HOSPITAL INC
Other names
Boulder City Hospital Skilled Nursing Facility
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOULDER CITY HOSPITAL INC
Authorized official
MRS. FREZEWED BELETE (CONTROLLER)
(702) 293-4111
Entity
Organization
Contact information
Practice address
901 ADAMS BOULEVARD, BOULDER CITY, NV 89005-2213
(702) 293-4111
(702) 294-5732
Mailing address
901 ADAMS BOULEVARD, BOULDER CITY, NV 89005-2213
(702) 293-4111
(702) 294-5732
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
633HOS11
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001802839
—
NV
Enumeration date
02/20/2007
Last updated
11/21/2011
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