STONECREEK SURGERY CENTER LLC – NPI #1417114166
Clinic/Center

STONECREEK SURGERY CENTER LLC is an AHC clinic located in LAS VEGAS, NV. NPPES has assigned the NPI number 1417114166 to STONECREEK SURGERY CENTER LLC on May 20, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 4 years ago on Mar 11, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STONECREEK SURGERY CENTER LLC below.

NPI Profile for
STONECREEK SURGERY CENTER LLC

NPI Number
1417114166
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STONECREEK SURGERY CENTER LLC
Primary location
5915 S RAINBOW BLVD STE 108
LAS VEGAS, NV 89118-2558
Phone: (702) 227-7959 Fax: (702) 227-6344
Mailing address
2850 W HORIZON RIDGE PKWY STE 300
HENDERSON, NV 89052-4395
Phone: (702) 202-4776 Fax:
Organization Subpart
No
Authorized Official
AMY GRIM
CREDENTIALING SPECIALIST
Phone: (702) 202-4776
Updated
Certification Date
Mar 11, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for STONECREEK SURGERY CENTER LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNV1417114166
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.