NPIMap

Organization Active NPI

Silver State Health Services

  • Federally Qualified Health Center (FQHC)
  • Las Vegas, NV
National Provider Identifier
1073078788
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SILVER STATE HEALTH SERVICES
Practice address
200 Foremaster LN
Las Vegas, NV 89101-1008
Phone
(702) 471-0420
NPI assigned
Feb 6, 2019
Last updated
Jul 26, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
SILVER STATE HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Ryan Linden
Title
Ceo
Phone
(702) 471-0420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

200 Foremaster LN
Las Vegas, NV 89101-1008

Mailing address

200 Foremaster LN
Las Vegas, NV 89101-1008

Other names 1

  • Silver State at Corridor of Hope Other name

National Provider Directory

National Provider Directory
Tax ID family
Silver State Health Services5 organizations share this tax ID, including this one
Part of
Silver State Health Services

Other organizations with this tax ID 4

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

Locations

200 Foremaster Ln
Las Vegas, NV 89101
Phone (702) 471-0420

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1073078788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FOREMASTER LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891011008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FOREMASTER LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891011008",
            "telephone_number": "702-471-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER STATE HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SILVER STATE HEALTH SERVICES",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "LINDEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-471-0420"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver State at Corridor of Hope",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Silver State at Corridor of Hope",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.