Organization Name: | BOULDER CITY OUTPATIENT SURGERY CENTER |
NPI Number: | 1467782961 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT W BARNES (ADMINISTRATOR) |
Mailing Address: | 901 Adams Blvd Boulder City |
State: | NV US |
Postal Code: | 890052213 |
Phone Number: | 7023696784 |
Fax Number: | 7025435313 |
NPI Enumeration Date: | 01/05/2010 |
NPI Last Update Date: | 01/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |