Provider Demographics
NPI:1689229353
Name:SPARKS FAMILY HOSPITAL INC
Entity Type:Organization
Organization Name:SPARKS FAMILY HOSPITAL INC
Other - Org Name:ER AT MCCARRAN NW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VP-CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-768-3482
Mailing Address - Street 1:8801 W SAHARA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-5865
Mailing Address - Country:US
Mailing Address - Phone:775-900-6700
Mailing Address - Fax:
Practice Address - Street 1:10290 N MCCARRAN BLVD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-6855
Practice Address - Country:US
Practice Address - Phone:775-900-6700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SPARKS FAMILY HOSPITAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-08
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty