NPIMap

Organization Active NPI

Nevada Health Centers Inc

Doing business as Elko Family Medical and Dental Center

  • Federally Qualified Health Center (FQHC)
  • Elko, NV
National Provider Identifier
1275735284
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NEVADA HEALTH CENTERS INC
Doing business as
Elko Family Medical and Dental Center
Practice address
762 14TH St
Elko, NV 89801-3413
Phone
(775) 738-5850
Fax
(775) 738-5856
NPI assigned
Jun 1, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
NEVADA HEALTH CENTERS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Thomas G Chase
Title
Ceo
Phone
(775) 888-6610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NV Primary

Addresses

Primary practice location

762 14TH St
Elko, NV 89801-3413

Mailing address

1802 N Carson St
Ste 100
Carson City, NV 89701-1227
Phone (775) 888-6610

Other identifiers 1

IdentifierTypeStateIssuer
100504768MedicaidNV

Other names 1

  • Elko Family Medical and Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nevada Health Centers34 organizations share this tax ID, including this one
Part of
Nevada Health Centers

Other organizations with this tax ID 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1275735284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 N CARSON ST",
            "address_2": "STE 100",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897011227",
            "telephone_number": "775-888-6610",
            "fax_number": "775-887-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 14TH ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898013413",
            "telephone_number": "775-738-5850",
            "fax_number": "775-738-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA HEALTH CENTERS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEVADA HEALTH CENTERS INC",
        "enumeration_date": "2007-06-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "775-888-6610"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100504768",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elko Family Medical and Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elko, NV

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.