Nevada Health Centers Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Carlin, NV
NPI 1376621722 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1376621722
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- NEVADA HEALTH CENTERS INC
- Practice address
- 310 Memory LN
Carlin, NV 89822-9902 - Phone
- (775) 754-2666
- Fax
- (775) 754-2684
- NPI assigned
- Nov 2, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- NEVADA HEALTH CENTERS INC
Authorized official
- Name
- Walter B Davis
- Title
- Ceo
- Phone
- (775) 888-6610
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 39
-
Madelaine Heidi Coquelet-Meyer, MFT, LCADC
-
Steven H Cerna, APRN
-
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
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D0968784 | Carlin Community Health Center | Certificate of waiver | Jun 10, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NV
Federally qualified health center certification: CCN 291820
- Legal name
- NEVADA HEALTH CENTERS INC
- Doing business as
- CARLIN COMMUNITY HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jan 1, 1999
- Last certification
- Jan 1, 1999
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Oct 22, 1992 in NV
- Enrollment address
- 310 Memory Lane
Carlin, NV 89822-9902
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Paula C Moore |
Corporate Director |
May 1, 2025 | |
| Wendy Charlebois |
Corporate Director |
May 1, 2025 | |
| Timothy Blakely |
Corporate Director |
Jun 1, 2018 | |
| Lyn Beggs |
Corporate Director |
Jun 1, 2022 | |
| Jeff Snyder |
Corporate Director |
Jun 1, 2016 | |
| Tom Zumtobel |
Corporate Director |
Jun 1, 2022 | |
| Linda Bingaman |
Corporate Director |
May 15, 2015 | |
| Kathryn L Triplett |
Corporate Officer |
Oct 1, 2016 | 50% |
| W-2 Managing Employee |
Oct 1, 2016 | 50% | |
| Maurice Washington |
Corporate Director |
May 15, 2015 | |
| Nicola Aaker |
Corporate Director |
May 1, 2025 | |
| Richard Luman |
Corporate Director |
May 1, 2025 | |
| Elizabeth Esteves |
W-2 Managing Employee |
Jun 10, 2024 | |
| Lisbeth Soriano |
Corporate Director |
May 1, 2025 | |
| Walter B Davis |
Corporate Officer |
Nov 26, 2012 | 50% |
| W-2 Managing Employee |
Nov 26, 2012 | 50% |
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… |
| O20110216000138 | NV | Part a Provider - Federally Qualified Health Center (FQHC) | 7113835307 | Practice locations: Carlin, NV |
National Provider Directory
- Part of
- Nevada Rural Health Cen
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NV | Yes |
Addresses
Primary practice location
310 Memory LN
Carlin, NV 89822-9902
Mailing address
3325 Research Way
Carson City, NV 89706-7913
Phone (775) 888-6610
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DQ468C | Other | NV | MEDICARE ID - TYPE UNSPECIFIED |
| 1376621722 | Medicaid | NV |
Other names
- Carlin Community Health Center
Other providers in Carlin, NV
- Nicola Preston Bain
- Harmony Christian
- City of Carlin
- Jessica Leane Jarrett
- Thomas Land
- Nevada Health Centers, Inc.
- Kevin Ullman
- Christy Leeann Ziegler
All providers in Carlin, NV · Federally Qualified Health Center (FQHC) in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.