NEVADA HEALTH CENTERS INC (NPI# 1134295058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134295058 |
| Entity Type | Organization |
| Organization Name | NEVADA HEALTH CENTERS INC |
| Other Organization Name | LAS VEGAS OUTREACH CLINIC |
| Practice Address |
47 W Owens Ave North Las Vegas NV 89030-6865 |
| Mailing Address |
3325 Research Way Carson City NV 89706-7913 |
| Practice Telephone | 7023074635 |
| Practice Fax Number | 7023074631 |
| Mailing Telephone | 7758886610 |
| Mailing Fax Number | 7758884904 |
| Enumeration Date | 2006-11-24 |
| 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 | MEDICARE ID - TYPE UNSPECIFIED | DQ468A | 01 |
| NV | 1134295058 | 05 |
| Other Name | Type Code |
|---|---|
| Las Vegas Outreach Clinic | 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 |
47 W OWENS AVE |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89030-6865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689686578 | Brian E Lane | Physician Assistant | 47 W Owens Ave, North Las Vegas, NV 89030-6865 | 2006-08-12 |
| 1518010008 | Ijaz Abid | Internal Medicine | 47 W Owens Ave, North Las Vegas, NV 89030-6865 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1558968214 | Arturo Juarez Magana | Technician | 2415 Reynolds Ave Suite 101, Las Vegas, NV 89030 | 2020-10-06 |
| 1669088407 | Olivia Lizbeth Santillan-trinidad | Technician | 2415 Reynolds Ave. Ste #101, Las Vegas, NV 89030 | 2020-09-17 |
| 1508471640 | Fabian Aaron Alvarado-perales | Technician | 2415 Reynolds Ave Ste. 101, Las Vegas, NV 89030 | 2020-09-15 |
| 1063047934 | Adriana Lopez | Technician | 2415 Reynolds Ave., Ste 100, N. Las Vegas, NV 89030 | 2020-03-11 |
| 1881234078 | Blanca E Rangel Silva | Technician | 2810 Equador Ct, Las Vegas, NV 89030 | 2020-01-15 |
| 1598314445 | Julia Gonzalez | Technician | 2415 Reynolds Ave Suiete 100, Las Vegas, NV 89030 | 2019-09-04 |
| 1487201901 | Mayra Gutierrez | Technician | 2415 Reynolds Av. #100, Las Vegas, NV 89030 | 2019-08-20 |
| 1639725799 | Idalia Ruiz | Technician | 2415 Reynolds Ave, Las Vegas, NV 89030 | 2019-08-14 |
| 1548815616 | Rd Prabhu-lata K Shete Mds Ltd | Clinic/Center | 1905 Civic Center Drive, Ste 201, N. Las Vegas, NV 89030 | 2019-08-06 |
| Find all providers in zip 89030 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184038176 | Hope Christian Health Center Corp | Clinic/Center | 4040 N Martin L King Blvd Ste A, North Las Vegas, NV 89032-3205 | 2014-06-17 |
| 1629595889 | Hope Christian Health Center Corp | Clinic/Center | 4040 N Martin Luther King Blvd, Suite A, North Las Vegas, NV 89032 | 2017-08-28 |
| 1639540719 | Hope Christian Health Center Corp | Clinic/Center | 4040 N Martin L King Blvd Ste A, North Las Vegas, NV 89032-3205 | 2015-10-14 |
| 1497820500 | Nevada Health Centers, Inc. | Clinic/Center | 2225 Civic Center Dr, Suite 224, North Las Vegas, NV 89030-6328 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750901625 | Hope Springs | Clinic/Center | 1920 E 4th St, Reno, NV 89512-3705 | 2020-04-21 |
| 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 | NORTH LAS VEGAS |
| Zip Code | 89030 |
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.