Active NPI
MMC of Nevada LLC
Doing business as Mesa View Regional Hospital
- Medicare Defined Swing Bed Hospital Unit
- Mesquite, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- Legal business name
- MMC OF NEVADA LLC
- Doing business as
- Mesa View Regional Hospital
- Practice address
- 1299 Bertha Howe Ave
Mesquite, NV 89027-7500 - Phone
- (702) 346-7037
- Fax
- (702) 346-7031
- NPI assigned
- May 23, 2007
- Last updated
- Aug 11, 2020
- Organization subpart
- Yes
- Parent organization
- MMC OF NEVADA LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randy Michael Cooper
- Title
- SVP Finance Op/Authorized Official
- Phone
- (615) 221-3840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | NU | Primary |
Addresses
Primary practice location
1299 Bertha Howe Ave
Mesquite, NV 89027-7500
Mailing address
PO Box 847743
Dallas, TX 75284-7743
Phone (702) 346-7037
Other names 1
- Mesa View Regional Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220524000867 | NV | Part A Provider - Critical Access Hospital | 3375434764 | Practice locations: Mesquite, NV |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1275743791. Details of each certification follow.
Hospital certification: CCN 29Z307
- Legal name
- MMC OF NEVADA LLC
- Doing business as
- MESA VIEW REGIONAL HOSPITAL
- Organization structure
- LLC
- Enrollment address
- 1299 Bertha Howe Ave
Mesquite, NV 89027-7500
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Mesa View Regional Hospital
- Critical Access Hospital
- Mesquite, NV
- NPI 1275588782
Unit of hospital
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Mesa View Regional Hospital
- Critical Access Hospital
- Mesquite, NV
- NPI 1275588782
3375434764
National Provider Directory
National Provider Directory- Part of
- Mesa View Regional Hospital
Ownership & related parties
All disclosed owners & managing parties 13
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Henry Kunath | Corporate Officer | Sep 6, 2023 | |
| Corporate Director | Sep 6, 2023 | ||
| Christopher M Harrison | Corporate Officer | Apr 1, 2025 | |
| Corporate Director | Apr 1, 2025 | ||
| Quorum Health Corporation | 5% Or Greater Indirect Ownership Interest | Apr 29, 2016 | 100% |
| Gtam Onshore Blocker 2 LLC | 5% Or Greater Indirect Ownership Interest | Dec 20, 2023 | 19.34% |
| Goldentree Distressed Onshore Master Fund III LP | 5% Or Greater Indirect Ownership Interest | Aug 5, 2020 | 13.07% |
| Laura Fey | Corporate Director | Aug 27, 2018 | |
| Goldentree Select Offshore Intermediate Fund LP | 5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 82.37% |
| Quorum Health Investment Company LLC | 5% Or Greater Direct Ownership Interest | Dec 31, 2015 | 100% |
| Goldentree Distressed Master Fund III LTD | 5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 100% |
| Kelly H Adams | W-2 Managing Employee | May 1, 2021 | |
| Quincy Health LLC | 5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 100% |
| Steven W Frantz | Corporate Director | Aug 10, 2022 | |
| Donald Esposito | Corporate Officer | Sep 16, 2021 | |
| Corporate Director | Sep 16, 2021 |
Facilities with the same owner 32
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Mesa View Medical Group
- Rural Health Clinic/Center
- Mesquite, NV
- NPI 1528639879
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation, Quorum Health Investment Company
-
- Rural Health Clinic/Center
- Logandale, NV
- NPI 1982275236
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation, Quorum Health Investment Company
-
dba Mesa View Regional Hospital
- Critical Access Hospital
- Mesquite, NV
- NPI 1275588782
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation, Quorum Health Investment Company
-
- Rural Health Clinic/Center
- Alpine, TX
- NPI 1275988669
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
dba Big Bend Regional Medical Center
- Critical Access Hospital
- Alpine, TX
- NPI 1356312243
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
dba Big Bend Regional Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Alpine, TX
- NPI 1689773756
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
dba Scenic Mountain Medical Center
- General Acute Care Hospital
- Big Spring, TX
- NPI 1336976034
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation, Quorum Health Investment Company
-
dba Scenic Mountain Medical Center
- Psychiatric Hospital Unit
- Big Spring, TX
- NPI 1770310476
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation, Quorum Health Investment Company
-
dba Mimbres Valley Medical Group
- Rural Health Clinic/Center
- Deming, NM
- NPI 1134526221
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
dba Mimbres Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Deming, NM
- NPI 1710196571
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
dba Mimbres Memorial Hospital
- Critical Access Hospital
- Deming, NM
- NPI 1891075446
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
dba Bridger Valley Medical Group
- Rural Health Clinic/Center
- Lyman, WY
- NPI 1134666944
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597104000000",
"number": "1275743791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 847743",
"city": "DALLAS",
"state": "TX",
"postal_code": "752847743",
"telephone_number": "702-346-7037",
"fax_number": "702-346-7031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1299 BERTHA HOWE AVE",
"city": "MESQUITE",
"state": "NV",
"postal_code": "890277500",
"telephone_number": "702-346-7037",
"fax_number": "702-346-7031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MMC OF NEVADA LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MMC OF NEVADA LLC",
"enumeration_date": "2007-05-23",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "RANDY",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "SVP FINANCE OP/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "615-221-3840"
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mesa View Regional Hospital",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mesa View Regional Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mesquite, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.