De Craig Ranch, LLC
General Acute Care Hospital in Las Vegas, NV. Organization (NPI-2).
NPI number1922542968
StatusActive
Last updated in NPPESOct 23, 2018
Details
- NPI
- 1922542968
- Entity type
- Organization (NPI-2)
- Legal business name
- De Craig Ranch, LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 9, 2016
- Last updated
- Oct 23, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282N00000X | General Acute Care Hospital | – | – | Yes |
Other names
- Dignity Health-St. Rose Dominican Blue Diamond Campus (Doing Business As)
Practice location
4855 Blue Diamond RdLas Vegas, NV 89139
Phone 713-637-1146 · Fax 281-298-5311
Mailing address
8686 New Trails DrSuite 100
The Woodlands, TX 77381-1176
Phone 713-637-1146 · Fax 281-298-5311
Authorized official
John Buck
President
7136371004
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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