Nevada Medical Clinic L.L.C.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

NEVADA MEDICAL CLINIC L.L.C.

Practice address

900 S Adams St
Nevada, MO 64772-3210

Phone

(417) 667-6015

Fax

(417) 667-4234

NPI assigned

Jun 17, 2005

Organization subpart

No

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

Authorized official

Name

Mr. James D Harms

Title

Administrator

Phone

(417) 667-6015

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Nevada City Hospital

  • Rural Health Clinic/Center
  • Nevada, MO
  • NPI 1730805136

  Sold to, 2022-11-01

  CMS change of ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott E Beard, MD

  • Gynecology Physician
  • Artesia, NM
  • NPI 1932105301
  NPD (past)
• Jerry L. Laster, MD

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1619994423
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104821867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S ADAMS ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723210",
            "telephone_number": "417-667-6015",
            "fax_number": "417-667-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S ADAMS ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723210",
            "telephone_number": "417-667-6015",
            "fax_number": "417-667-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA MEDICAL CLINIC L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HARMS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "417-667-6015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500921101",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "595219007",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nevada Family Dentistry LLC
• Nevada Health Care Center, L.L.C.
• Nevada Health Care Services, Inc.
• Nevada Imaging Inc
• Nevada Internal Medicine, Inc
• Nevada Medical Clinic L.L.C.
• Nevada Optometric Center, Inc.
• Nevada R-5 School District
• Nevada Surgical Associates LLC
• Nevada Urgent Care

• Rural Health Clinic/Center in Nevada, MO
• Providers in Nevada, MO by specialty
• Rural Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.