| Organization Name: | BOULDER CITY HOSPITAL INC |
| NPI Number: | 1124320726 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FREZEWED BELETE (CONTROLLER) |
| Mailing Address: | 901 Adams Blvd Boulder City |
| State: | NV US |
| Postal Code: | 890052213 |
| Phone Number: | 7022934111 |
| Fax Number: | 7022945732 |
| NPI Enumeration Date: | 12/02/2010 |
| NPI Last Update Date: | 11/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 633RUH-16 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |