Organization Active NPI

Desert View Regional Medical Center Holdings, LLC

  • Critical Access Hospital
  • Pahrump, NV
National Provider Identifier
1073530168
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
4054HOS-1 Issued in NV
Legal business name
DESERT VIEW REGIONAL MEDICAL CENTER HOLDINGS, LLC
Practice address
360 S Lola LN
Pahrump, NV 89048
Phone
(775) 751-7500
Fax
(775) 751-7835
NPI assigned
Jul 16, 2006
Last updated
Mar 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Authorized official

Name
Mr. Ken M Richens
Title
Cfo
Phone
(435) 623-4924

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 4054HOS-1 NV
Critical Access Hospital 282NC0060X NV
Critical Access Hospital 282NC0060X 4054HOS-1 NV Primary

Addresses

Primary practice location

360 S Lola LN
Pahrump, NV 89048

Mailing address

360 S Lola LN
Pahrump, NV 89048
Phone (775) 751-7500

Other identifiers 3

IdentifierTypeStateIssuer
100511518MedicaidNV
100507860MedicaidNV
100507862MedicaidNV

Other names 1

  • Desert View Hospital Other name

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

9080 W Post Rd
Ste 200
Las Vegas, NV 89148
Phone (702) 425-7280

1301 Bertha Howe Ave
Ste 11
Mesquite, NV 89027
Phone (435) 656-2020

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

Practitioners & affiliated clinicians

Practitioners 90

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 90

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1073530168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S LOLA LN",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "89048",
            "telephone_number": "775-751-7500",
            "fax_number": "775-751-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S LOLA LN",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "89048",
            "telephone_number": "775-751-7500",
            "fax_number": "775-751-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VIEW REGIONAL MEDICAL CENTER HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "RICHENS",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "435-623-4924",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NV",
            "license": "4054HOS-1",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NV",
            "license": "4054HOS-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100511518",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507860",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507862",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert View Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pahrump, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.