Provider Demographics
NPI:1134875651
Name:DESERT WINDS HOSPITAL LLC
Entity type:Organization
Organization Name:DESERT WINDS HOSPITAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:BRICK-TURIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-215-7748
Mailing Address - Street 1:5900 W ROCHELLE AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-3304
Mailing Address - Country:US
Mailing Address - Phone:787-659-3062
Mailing Address - Fax:
Practice Address - Street 1:5900 W ROCHELLE AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-3304
Practice Address - Country:US
Practice Address - Phone:787-659-3062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital