Provider Demographics
NPI:1437322278
Name:SIERRA VISTA MEDICAL INVESTORS, LP
Entity Type:Organization
Organization Name:SIERRA VISTA MEDICAL INVESTORS, LP
Other - Org Name:LIFE CARE CENTER OF SIERRA VISTA REHABILITATION AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:CROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-473-5867
Mailing Address - Street 1:3001 KEITH ST NW
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-3713
Mailing Address - Country:US
Mailing Address - Phone:423-473-5751
Mailing Address - Fax:423-339-8342
Practice Address - Street 1:2305 E WILCOX DR
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-2738
Practice Address - Country:US
Practice Address - Phone:520-458-1050
Practice Address - Fax:520-458-6944
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SIERRA VISTA MEDICAL INVESTORS, LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-11
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation