Provider Demographics
NPI:1114361185
Name:WARM SPRINGS SURGICAL CENTER, LLC
Entity Type:Organization
Organization Name:WARM SPRINGS SURGICAL CENTER, LLC
Other - Org Name:WARM SPRINGS SURGICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:UMBACH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-802-5200
Mailing Address - Street 1:3235 E WARM SPRINGS RD STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3188
Mailing Address - Country:US
Mailing Address - Phone:855-655-7385
Mailing Address - Fax:801-931-2044
Practice Address - Street 1:3235 E WARM SPRINGS RD
Practice Address - Street 2:SUITE 110
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3187
Practice Address - Country:US
Practice Address - Phone:702-802-5200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-22
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV261QA1903X261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical