Provider Demographics
NPI:1598149106
Name:VA HOSPITAL
Entity Type:Organization
Organization Name:VA HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:SHEERY MARIE
Authorized Official - Middle Name:JABAT
Authorized Official - Last Name:CALALO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-848-2371
Mailing Address - Street 1:8967 VIA VISTA CIR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-6536
Mailing Address - Country:US
Mailing Address - Phone:775-848-2371
Mailing Address - Fax:
Practice Address - Street 1:8967 VIA VISTA CIR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-6536
Practice Address - Country:US
Practice Address - Phone:775-848-2371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-13
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV70303286500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital