PRIME CARE NEVADA INC (NPI# 1508077546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508077546 |
| Entity Type | Organization |
| Organization Name | PRIME CARE NEVADA INC |
| Other Organization Name | NYE REGIONAL MEDICAL CENTER |
| Practice Address |
825 South Main Street Tonopah NV 89049 |
| Mailing Address |
P.o. Box 391 Tonopah NV 89049-0391 |
| Practice Telephone | 7754826233 |
| Practice Fax Number | 7754828272 |
| Mailing Telephone | 7754826233 |
| Mailing Fax Number | 7754828272 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2010-08-10 |
| Authorized Official Name | MARK JOSEPH LATCHERAN (CEO) |
| Authorized Official Telephone | 7754822460 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
Hospitals | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100505391 | 05 |
| Other Name | Type Code |
|---|---|
| Nye Regional Medical Center | Doing Business As Name - Organization |
| Street Address |
825 SOUTH MAIN STREET |
| City | TONOPAH |
| State | NV |
| Zip Code | 89049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255367058 | Primecare Nevada Dba Nye Regional Medical Center | Clinic/Center | 825 South Main Street, Tonopah, NV 89049 | 2006-06-23 |
| 1922495704 | Primecare Nevada Inc. | Medicare Defined Swing Bed Unit | 825 South Main Street, Tonopah, NV 89049-0391 | 2015-04-20 |
| 1326111956 | Christopher John Vondippe | Obstetrics & Gynecology | 825 South Main Street, Tonopah, NV 89049 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427699792 | Shawn Edward Jensen | Pharmacist | 120 South Main St, Tonopah, NV 89049 | 2019-10-08 |
| 1861967911 | Kathleen Bernache | Counselor | 1 Frankie St, Tonopah, NV 89049 | 2018-10-04 |
| 1063901965 | Raleys | Pharmacy | Hwy 95 & Air Force Rd., Tonopah, NV 89049 | 2018-05-07 |
| 1467858464 | Westcare Nevada | Counselor | 1 Frankie Street, Tonopah, NV 89049 | 2014-11-18 |
| 1295130185 | David Cain | Physician Assistant | 825 South Main, Tonopah, NV 89049 | 2014-11-04 |
| 1407088529 | Nevada State Health Division | Public Health or Welfare | #1 Frankie Avenue, Tonopah, NV 89049 | 2009-08-24 |
| 1225233018 | Craig A Strobel | Family Medicine | 825 S. Erie Main Street, Tonopah, NV 89049 | 2007-06-20 |
| 1033253174 | Gerald W Peterson Jr Ltd | Family Medicine | 119 St. Patrick Ln., Tonopah, NV 89049 | 2007-02-19 |
| 1487718383 | Nye County | Ambulance | 1114 Globemallow Ln, Ste 2, Tonopah, NV 89049 | 2006-12-22 |
| 1114098464 | Lisa Marie Logan | Physician Assistant | 825 S Main St., Tonopah, NV 89049 | 2006-11-10 |
| Find all providers in zip 89049 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255367058 | Primecare Nevada Dba Nye Regional Medical Center | Clinic/Center | 825 South Main Street, Tonopah, NV 89049 | 2006-06-23 |
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| Find all providers with the same taxonomy | ||||
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| 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.