Provider Demographics
NPI:1023867868
Name:SUNRISE HOSPITAL AND MEDICAL CENTER, LLC
Entity type:Organization
Organization Name:SUNRISE HOSPITAL AND MEDICAL CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-961-5000
Mailing Address - Street 1:1501 WAGON WHEEL DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89002-9314
Mailing Address - Country:US
Mailing Address - Phone:702-731-8000
Mailing Address - Fax:
Practice Address - Street 1:1501 WAGON WHEEL DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89002-9314
Practice Address - Country:US
Practice Address - Phone:702-731-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUNRISE HOSPITAL AND MEDICAL CENTER, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care