Nevada Health Centers Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Beatty, NV
NPI 1205913449 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1205913449
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- NEVADA HEALTH CENTERS INC
- Practice address
- 702 Irving Street
Beatty, NV 89003-0431 - Phone
- (775) 553-2208
- Fax
- (775) 553-2844
- NPI assigned
- Nov 1, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- NEVADA HEALTH CENTERS INC
Authorized official
- Name
- Walter B Davis
- Title
- Ceo
- Phone
- (775) 887-1590
Other NPIs on the same Medicare enrollment 34
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040219000452 | NV | Part B Supplier - Clinic/Group Practice | 7113835307 |
Receives reassigned benefits from 65 practitioners 34 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Las Vegas, NV; North Las Vegas, NV; Pahrump, NV; Reno, NV; Virginia City, NV; West Wendover, NV; Amargosa Valley, NV; Austin, NV… |
National Provider Directory
- Part of
- Nevada Rural Health Cen
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NV | Yes |
Addresses
Primary practice location
702 Irving Street
Beatty, NV 89003-0431
Mailing address
3325 Research Way
Attn: Pat
Carson City, NV 89706-7913
Phone (775) 888-6610
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DQ468A | Other | NV | MEDICARE ID - TYPE UNSPECIFIED |
| 1205913449 | Medicaid | NV |
Other names
- Beatty Medical Clinic
Other providers in Beatty, NV
- Wanda Bernhardt
- Paul Carr
- Hometown Healthcare LLC
- McGinnis Mica Medical PC
- Diane M McGinnis
- Nevada Health Centers, Inc.
- Primecare Nevada Inc.
- Veni-Express Inc
All providers in Beatty, NV · Federally Qualified Health Center (FQHC) in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 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.