Provider Demographics
NPI:1578570636
Name:VALLEY VIEW SURGERY CENTER
Entity Type:Organization
Organization Name:VALLEY VIEW SURGERY CENTER
Other - Org Name:OUTPATIENT SURGERY FACILITY
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCOURT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-870-7101
Mailing Address - Street 1:1330 S VALLEY VIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102
Mailing Address - Country:US
Mailing Address - Phone:702-870-7101
Mailing Address - Fax:702-870-7118
Practice Address - Street 1:1330 S VALLEY VIEW BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102
Practice Address - Country:US
Practice Address - Phone:702-870-7101
Practice Address - Fax:702-870-7118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical