Organization
BOULDER CITY HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREZEWED BELETE (CONTROLLER)
(702) 293-4111
Entity
Organization
Contact information
Practice address
901 ADAMS BLVD, BOULDER CITY, NV 89005-2213
(702) 293-4111
(702) 294-5732
Mailing address
901 ADAMS BLVD, BOULDER CITY, NV 89005-2213
(702) 293-4111
(702) 294-5732
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
633HOS11
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001002839
—
NV
05
—
001102839
—
NV
05
—
001202839
—
NV
05
—
001902839
—
NV
05
—
002802839
—
NV
05
—
100502787
—
NV
Enumeration date
02/20/2007
Last updated
11/21/2011
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