Nevada Health Centers, Inc.
Organization Active NPI Community/Retail Pharmacy · Carson City, NV
NPI 1366476210 · NPPES record last updated Apr 11, 2023
Key facts
- NPI
- 1366476210
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- NEVADA HEALTH CENTERS, INC.
- Practice address
- 3325 Research Way
Carson City, NV 89706-7913 - Phone
- (855) 888-7426
- Fax
- (775) 887-5144
- NPI assigned
- Jul 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Walter Davis
- Title
- Ceo
- Phone
- (775) 887-1590
Owned or controlled facilities with NPI records 14
Other NPIs on the same Medicare enrollment 34
Other NPIs with the same Medicare PAC ID 24
Practitioners 42
-
Steven H Cerna, APRN
-
Madelaine Heidi Coquelet-Meyer, MFT, LCADC
-
Sarah Draves, APRN
-
Ashwitha Francis, MD
-
Rachel Elizabeth Grant, FNP-C
-
Gayle Harris, APRN
-
Amanda Lauren Horton, APRN
-
Mylinda Barrick Houser, LCSW
-
Sandra Fay Lewis, LCSW
-
Steve Lore, MD
-
Karina J Luera, DO
-
Elyse Muratore, MD
-
Ertha A Nanton, MD
-
Michael W Owens, MD
-
Amol Patel, MD
-
Rhianna Michelle Perez, MSN, FNP-C
-
Darren A Rahaman, MD
-
Jill Rathie, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NV
All facility ownership & control disclosures 14
| Facility | Type | Role | Since |
|---|---|---|---|
| Cambridge Family Health Center |
Federally qualified health center | Operational/Managerial Control (100%) | Oct 1, 2013 |
| North Las Vegas Family Health Center |
Federally qualified health center | Operational/Managerial Control (100%) | May 3, 2013 |
| Eastern Family Medical and Dental Center |
Federally qualified health center | Operational/Managerial Control (100%) | Jun 29, 2010 |
| Jackpot Community Health Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 1999 |
| Henderson Family Health Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Aug 18, 2015 |
| Nevada Health Centers Carson City School Based |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Dec 21, 2015 |
| Nevada Health Centers at Virginia City |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Dec 29, 2015 |
| Nevada Children'S Health Project |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 26, 2018 |
| Nevada Health Centers at Enterprise |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | May 10, 2019 |
| Willow Street Health Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Aug 22, 2023 |
| Mobile Medical Services 1 |
Federally qualified health center | 5% Or Greater Direct Ownership Interest | Dec 29, 2023 |
| Mobile Dental Services 1 |
Federally qualified health center | 5% Or Greater Indirect Ownership Interest | Dec 1, 2023 |
| Nellis Family Medical & Dental Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 9, 2024 |
| Pahrump Family Health Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Oct 8, 2024 |
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… |
| O20191216002836 | NV | Part B Supplier - Mass Immunization (Roster Biller Only) | 7113835307 | Practice locations: Carson City, NV |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | PH01212 | NV | |
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
3325 Research Way
Carson City, NV 89706-7913
Mailing address
3325 Research Way
Carson City, NV 89706-7913
Phone (855) 888-7426
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH01212 | Other | NV | NV PHARMACY REG # |
Other names
- Community Health Pharmacy
Other providers in Carson City, NV
- Nevada Department of Corrections
- Nevada Health Centers Inc
- Nevada Health Centers Inc.
- Nevada Health Centers, Inc
- Nevada Health Centers, Inc
- Nevada Seating & Mobility, Inc.
- Angela Nevarez
- Michael Scott Nevius
- Richard David Newbold
- Keith Westley Newton
All providers in Carson City, NV · Community/Retail Pharmacy in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2023. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.