NPIMap

Organization Active NPI

Washoe Barton Medical Clinic a Nevada Nonprofit Corporation

Doing business as CVMC Outpatient Behavioral Health Clinic

  • Community/Behavioral Health Agency
  • Gardnerville, NV
National Provider Identifier
1104482918
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WASHOE BARTON MEDICAL CLINIC A NEVADA NONPROFIT CORPORATION
Doing business as
CVMC Outpatient Behavioral Health Clinic
Practice address
1107 US Highway 395 N
Gardnerville, NV 89410-5304
Phone
(775) 782-1630
Fax
(775) 782-1632
NPI assigned
May 16, 2019
Last updated
Jun 30, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
WASHOE BARTON MEDICAL CLINIC A NEVADA NONPROFIT CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Gina Zink
Title
Director of Behavioral Health
Phone
(775) 783-3081

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Case Management Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC0400X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Community/Behavioral Health Agency 251S00000X Primary
Critical Access Hospital 282NC0060X

Addresses

Primary practice location

1107 US Highway 395 N
Gardnerville, NV 89410-5304

Mailing address

1107 US Highway 395 N
Gardnerville, NV 89410-5304
Phone (775) 782-1630

Other names 1

  • CVMC Outpatient Behavioral Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061104000237 NV Part A Provider - Critical Access Hospital 7214835149 Receives reassigned benefits from 71 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gardnerville, NV
O20061127000164 NV Part B Supplier - Clinic/Group Practice 7214835149 Receives reassigned benefits from 66 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gardnerville, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104482918. Details of each certification follow.

Hospital certification: CCN 291306

Legal name
WASHOE BARTON MEDICAL CLINIC A NEVADA NONPROFIT CORPORATION
Doing business as
CARSON VALLEY HEALTH
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Apr 1, 2004
Last certification
Jul 10, 2025
Beds
25 (15 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 13, 1998 in NV
Enrollment address
1107 US Highway 395 N
Gardnerville, NV 89410-5304
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Carson Valley HealthCCN 291306 · All quality measures
Overall star rating
5 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Washoe Barton Medical C

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gina Zink Individual W-2 Managing EmployeeDirector of Clinics Jan 8, 2008
Paul J Fry Individual Corporate DirectorBoard Member Jan 1, 2016
Barton Healthcare System Organization, South Lake Tahoe, CA Non-profit 5% Or Greater Direct Ownership Interest Nov 1, 2000 100%
Jeffrey Rahbeck Individual Corporate DirectorBoard Member Jan 26, 2026
Kelly Neiger Individual Corporate Director Jan 1, 2020
Clinton D Purvance Individual Corporate Director Apr 2, 2008
Shannon Rogers Individual Corporate OfficerCeo Apr 9, 2026
Corporate DirectorCeo Apr 9, 2026
W-2 Managing Employee Apr 9, 2026
Colleen Reid Individual Corporate OfficerCfo Nov 26, 2018

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 44

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 44

Affiliated clinicians 404

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 404

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1104482918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 US HIGHWAY 395 N",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105304",
            "telephone_number": "775-782-1630",
            "fax_number": "775-782-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 US HIGHWAY 395 N",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105304",
            "telephone_number": "775-782-1630",
            "fax_number": "775-782-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHOE BARTON MEDICAL CLINIC A NEVADA NONPROFIT CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WASHOE BARTON MEDICAL CLINIC A NEVADA NONPROFIT CORPORATION",
        "enumeration_date": "2019-05-16",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "ZINK",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "DIRECTOR OF BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "775-783-3081"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVMC Outpatient Behavioral Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CVMC Outpatient Behavioral Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardnerville, NV

Sources for this page

Verify at the official NPI Registry.