NPIMap

Organization Active NPI

Battle Mountain General Hospital

  • Land Ambulance
  • Battle Mountain, NV
National Provider Identifier
1326308644
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
BATTLE MOUNTAIN GENERAL HOSPITAL
Practice address
535 S Humboldt St
Battle Mountain, NV 89820-1988
Phone
(775) 635-2550
Fax
(775) 635-9463
NPI assigned
May 21, 2012
Last updated
Mar 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Authorized official

Name
Jason K Bleak
Title
Ceo
Phone
(775) 635-2550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

535 S Humboldt St
Battle Mountain, NV 89820-1988

Mailing address

535 S Humboldt St
Battle Mountain, NV 89820-1988
Phone (775) 635-2550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050418001165 NV Part A Provider - Critical Access Hospital 6901710144 Receives reassigned benefits from 10 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Battle Mountain, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326308644. Details of each certification follow.

Hospital certification: CCN 291303

Legal name
BATTLE MOUNTAIN GENERAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 1, 2001
Last certification
Apr 29, 2021
Beds
5
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
535 South Humboldt St
Battle Mountain, NV 89820-1988

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Battle Mountain General HospitalCCN 291303 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Battle Mountain General Hospital10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cynthea J Fagg Individual Operational/Managerial ControlController Apr 22, 2005 100%
Jason Bleak Individual Corporate OfficerCeo Jan 15, 2018 100%
Corporate DirectorCeo Jan 15, 2018 100%
Operational/Managerial ControlChief Executive Officer Jan 15, 2018 100%
Battle Mountain General Hospital Organization, Battle Mountain, NV Operational/Managerial Control Aug 26, 2010 100%
Jodi Price Individual Corporate OfficerDirector of Business Services Jan 1, 2000 100%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 35

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1326308644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S HUMBOLDT ST",
            "city": "BATTLE MOUNTAIN",
            "state": "NV",
            "postal_code": "898201988",
            "telephone_number": "775-635-2550",
            "fax_number": "775-635-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S HUMBOLDT ST",
            "city": "BATTLE MOUNTAIN",
            "state": "NV",
            "postal_code": "898201988",
            "telephone_number": "775-635-2550",
            "fax_number": "775-635-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATTLE MOUNTAIN GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "BLEAK",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "775-635-2550"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Mountain, NV

Sources for this page

Verify at the official NPI Registry.