NPIMap

Organization Active NPI

Humboldt General Hospital CP

  • Critical Access Hospital
  • Winnemucca, NV
National Provider Identifier
1306435383
Registry record updated Jan 13, 2021
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Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
HUMBOLDT GENERAL HOSPITAL CP
Practice address
118 E Haskell St
Winnemucca, NV 89445-3299
Phone
(775) 623-5222
NPI assigned
Jan 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Mrs. Bonita Darlene Mangrum, BAA, BSN
Title
Director of Revenue
Phone
(775) 623-5222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

118 E Haskell St
Winnemucca, NV 89445-3299

Mailing address

118 E Haskell St
Winnemucca, NV 89445-3299
Phone (775) 623-5222

Other identifiers 1

IdentifierTypeStateIssuer
282NC0060XOtherNVTAXONOMY CODE

Other names 1

  • Humboldt General Hospital CP Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Winnemucca Direct
Other URL Winnemucca Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1306435383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 E HASKELL ST",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894453299",
            "telephone_number": "775-623-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E HASKELL ST",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894453299",
            "telephone_number": "775-623-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT GENERAL HOSPITAL CP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "MANGRUM",
        "authorized_official_first_name": "BONITA",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE",
        "authorized_official_telephone_number": "775-623-5222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BAA, BSN"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "282NC0060X",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Winnemucca",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "118 E Haskell St",
            "city": "Winnemucca",
            "state": "NV",
            "country_code": "US",
            "postal_code": "894453299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Winnemucca",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Winnemucca",
            "address_1": "118 E Haskell St",
            "city": "Winnemucca",
            "state": "NV",
            "country_code": "US",
            "postal_code": "894453299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Humboldt General Hospital CP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Humboldt General Hospital CP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winnemucca, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.