Primecare Nevada Inc.

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

65RUH-34 Issued in NV

Legal business name

PRIMECARE NEVADA INC.

Practice address

825 S. Main Street
Tonopah, NV 89049-0391

Phone

(775) 482-6233

Fax

(775) 482-6155

NPI assigned

Apr 20, 2015

Organization subpart

No

Name

Wayne C Allen

Title

Ce/Administrator

Phone

(775) 482-6233

Organizations that report the same tax identification number in the National Provider Directory.

• Primecare Nevada Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Tonopah, NV
  • NPI 1922495704
  NPD tax ID

Tax ID family

Nye Regional Medical Center (2 organizations share this tax ID)

• Nye Regional Medical Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 20, 2015.

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1013304898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 S. MAIN STREET",
            "city": "TONOPAH",
            "state": "NV",
            "postal_code": "890490391",
            "telephone_number": "775-482-6233",
            "fax_number": "775-482-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S. MAIN STREET",
            "city": "TONOPAH",
            "state": "NV",
            "postal_code": "890490391",
            "telephone_number": "775-482-6233",
            "fax_number": "775-482-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE NEVADA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CE/ADMINISTRATOR",
        "authorized_official_telephone_number": "775-482-6233"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NV",
            "license": "65RUH-34",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P-TAN",
            "identifier": "290020",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nye Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Kearns Olpin, D.M.D.
• Eljena Marie Peterson, APRN FNP
• Ashley Marie Porter
• Prime Care Nevada Inc
• Primecare Nevada Dba Nye Regional Medical Center
• Primecare Nevada Inc.
• Raleys
• Kurt Rettig
• Breanna Reyes
• Thomas J Schotik

• All providers in Tonopah, NV
• Critical Access Hospital in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.