NEVADA HEALTH CENTERS INC (NPI# 1033297304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033297304 |
| Entity Type | Organization |
| Organization Name | NEVADA HEALTH CENTERS INC |
| Other Organization Name | WENDOVER COMMUNITY HEALTH CENTER |
| Practice Address |
925 Wells Avenue Box 3520 West Wendover NV 89883 |
| Mailing Address |
3325 Research Way Carson City NV 89706-7913 |
| Practice Telephone | 7756642220 |
| Practice Fax Number | 7756642965 |
| Mailing Telephone | 7758886610 |
| Mailing Fax Number | 7758884904 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2014-05-12 |
| Authorized Official Name | WALTER B DAVIS (CEO) |
| Authorized Official Telephone | 7758886610 |
| Is Organization Subpart | Y |
| Parent Organization Name | NEVADA HEALTH CENTERS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
========= | NV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1033297304 | 05 | |
| NV | MEDICARE ID - TYPE UNSPECIFIED | DQ468C | 01 |
| Other Name | Type Code |
|---|---|
| Wendover Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417075375 | Nevada Health Centers Inc | Clinic/Center | 403 W Wilson, Las Vegas, NV 89106 | 2007-03-27 |
| 1447378310 | Nevada Health Centers Inc | Clinic/Center | 2800 Stewart Ave, Las Vegas, NV 89101-4722 | 2007-03-27 |
| 1962520239 | Nevada Health Centers Inc | Clinic/Center | 2839 Burnham Ave, Las Vegas, NV 89169-1793 | 2007-03-26 |
| 1376621722 | Nevada Health Centers Inc | Clinic/Center | 310 Memory Ln, Carlin, NV 89822-9902 | 2006-11-02 |
| 1497833859 | Nevada Health Centers Inc | Clinic/Center | 350 Short Street, Gerlach, NV 89412 | 2006-11-02 |
| 1023196292 | Nevada Health Centers Inc | Clinic/Center | 5043 Tenabo Avenue, Crescent Valley, NV 89821-1155 | 2006-11-02 |
| 1497833768 | Nevada Health Centers Inc | Clinic/Center | 950 Lady Luck Drive, Box 628, Jackpot, NV 89825-0628 | 2006-11-02 |
| 1205913449 | Nevada Health Centers Inc | Clinic/Center | 702 Irving Street, Beatty, NV 89003-0431 | 2006-11-01 |
| 1730113465 | Nevada Health Centers Inc | Clinic/Center | 310 9th St, Ste 110, Las Vegas, NV 89101 | 2006-07-10 |
| 1760048771 | Nevada Health Centers Inc | Pharmacy | 1799 Mount Mariah Dr, Las Vegas, NV 89106-1501 | 2019-05-15 |
| Street Address |
925 WELLS AVENUE BOX 3520 |
| City | WEST WENDOVER |
| State | NV |
| Zip Code | 89883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750894184 | Daniel Jacob Densley | Physician Assistant | 925 Wells Avenue, P.o. Box 3520, West Wendover, NV 89883-3520 | 2017-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801118351 | Rehab & Industrial Services | Preferred Provider Organization | 925 North Wells Avenue, Unit B, West Wendover, NV 89883 | 2010-02-25 |
| 1891877734 | State of Nevada | Clinic/Center | 925 Wells Ave, Wendover, NV 89883 | 2006-10-19 |
| 1396760914 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 1855 West Wendover Blvd, Wendover, NV 89883 | 2006-07-13 |
| 1043840770 | John Eckersley | Pharmacist | 1855 West Wendover Blvd, West Wendover, NV 89883 | 2020-01-22 |
| 1831503259 | Travis Keith Hardin | Physician Assistant | 925 Wells Ave, West Wendover, NV 89883 | 2014-06-13 |
| 1598067803 | Christy Gene Somsen | Physician Assistant | 925 Wells Ave, West Wendover, NV 89883 | 2010-11-19 |
| 1972500445 | Mountain West Inc | Ambulance | 427 Mesa, West Wendover, NV 89883-2530 | 2005-06-30 |
| 1417488396 | Kimberlee Haycock | Behavior Technician | 1417 Cactus St, Wendover, NV 89883-3030 | 2017-03-23 |
| 1710428826 | Rachel Jackson | Behavior Technician | 3256 Sky View Dr, Box 4323, West Wendover, NV 89883-3659 | 2017-03-09 |
| 1710415815 | Maria G Ortega | Behavioral Analyst | 663 N Apache Ln, West Wendover, NV 89883-5708 | 2017-06-01 |
| Find all providers in zip 89883 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1417599184 | Silver State Health Services | Clinic/Center | 951 E Honeysuckle St, Pahrump, NV 89048 | 2019-10-14 |
| 1801357108 | All for Health Health for All Inc | Clinic/Center | 7477 W Lake Mead Blvd Ste 106, Las Vegas, NV 89128-0374 | 2019-03-28 |
| 1073078788 | Silver State Health Services | Clinic/Center | 200 Foremaster Ln, Las Vegas, NV 89101-1008 | 2019-02-06 |
| 1356806061 | Silver State Health Services | Clinic/Center | 2215c Renaissance Dr, Las Vegas, NV 89119-6729 | 2019-02-06 |
| 1952897548 | Community Health Alliance | Clinic/Center | 5295 Sun Valley Blvd Ste 8, Sun Valley, NV 89433 | 2018-07-06 |
| 1033630710 | Searchlight Healthcare Charities | Clinic/Center | 98 E Lake Mead Pkwy Ste 305, Henderson, NV 89015-6444 | 2017-07-03 |
| 1598202913 | Silver State Health Services | Clinic/Center | 2965 S Jones Blvd Ste C, Las Vegas, NV 89146-5606 | 2017-01-23 |
| 1417321902 | Nevada Health Centers Inc. | Clinic/Center | 175 E. Carson Street, Suite A, Virginia City, NV 89440 | 2015-11-20 |
| 1619348489 | Nevada Health Centers Inc. | Clinic/Center | 618 W. Musser Street, Carson City, NV 89703 | 2015-10-19 |
| Find all providers with the same taxonomy | ||||
| City | WEST WENDOVER |
| Zip Code | 89883 |
Please comment or provide details below to improve the information on NEVADA HEALTH CENTERS INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.