Douglas Co & Unincorporated Towns

Key facts

NPI: 1124577648
Entity type: Organization (NPI type 2)
Primary specialty: Community Health Clinic/Center 261QC1500X
Legal business name: DOUGLAS CO & UNINCORPORATED TOWNS
Practice address: 1329 Waterloo Lane
Gadrnerville, NV 86410
Phone: (775) 782-9038
NPI assigned: Sep 26, 2016
Organization subpart: No

Authorized official

Name: Brook Adie
Title: Assistant Director
Phone: (775) 782-6246

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Douglas Co and Unincorporated Towns Psychiatric Residential Treatment Facility · Gardnerville, NV · NPI 1306338215

NPPES parent name

Corporate family (same tax ID) 2

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

Douglas Co and Unincorporated Towns Psychiatric Residential Treatment Facility · Gardnerville, NV · NPI 1306338215

NPD tax ID
Douglas County and Unincorporated Towns Children's Substance Abuse Rehabilitation Facility · Gardnerville, NV · NPI 1609361088

NPD tax ID

Practitioners 1

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

Tamara Baumann, APRN Women's Health Nurse Practitioner · Gardnerville, NV · NPI 1326096017

Medicare reassignment NPD NV

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NV

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20171024002853	NV	Part B Supplier - Clinic/Group Practice	1850551011	Receives reassigned benefits from 1 practitioner Practice locations: Gardnerville, NV

National Provider Directory

Tax ID family: Douglas Co Unincorpor (3 organizations share this tax ID)

Locations

3620 N Sunridge Dr
Carson City, NV 89705
Phone (775) 267-3004

3456 Princeton Ave
Carson City, NV 89705
Phone (775) 267-2675

940 Mitch Dr
Gardnerville, NV 89460
Phone (775) 782-9040

1699 County Rd
Minden, NV 89423
Phone (775) 782-9040

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community Health Clinic/Center	261QC1500X			Yes

Addresses

Primary practice location

1329 Waterloo Lane
Gadrnerville, NV 86410

Mailing address

P.O. Box 218
Minden, NV 89423
Phone (775) 782-9821

Other names

Douglas County Community Health Doing business as

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	badie@douglasnv.us

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.