NPIMap

Organization Active NPI

Battle Mountain General Hospital

  • Skilled Nursing Facility
  • Battle Mountain, NV
National Provider Identifier
1366658809
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
631HOS9 Issued in NV
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 14, 2007
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 Bleak
Title
Ceo
Phone
(775) 635-2550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 631HOS9 NV 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
O20031113000113 NV Part B Supplier - Clinic/Group Practice 6901710144 Receives reassigned benefits from 17 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Battle Mountain, NV

Other NPIs on the same Medicare enrollment 4

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

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.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1366658809",
    "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": "2007-05-14",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "BLEAK",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "775-635-2550"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NV",
            "license": "631HOS9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Mountain, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.