Provider Demographics
NPI:1760033229
Name:SEVEN HILLS ASC
Entity Type:Organization
Organization Name:SEVEN HILLS ASC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF REVENUE CYCLE & OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:HALVERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-919-8236
Mailing Address - Street 1:876 SEVEN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4369
Mailing Address - Country:US
Mailing Address - Phone:702-914-2028
Mailing Address - Fax:702-614-7456
Practice Address - Street 1:876 SEVEN HILLS DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4369
Practice Address - Country:US
Practice Address - Phone:702-914-2028
Practice Address - Fax:702-614-7456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-26
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical