Organization Active NPI

Pahrump Community Health Center

  • Ambulatory Surgical Clinic/Center
  • Pahrump, NV
National Provider Identifier
1396515250
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PAHRUMP COMMUNITY HEALTH CENTER
Practice address
136 S Lola LN
Pahrump, NV 89048-0898
Phone
(928) 846-7171
NPI assigned
Jan 3, 2024
Organization subpart
Yes
Parent organization
COMMUNITY HEALTH DEVELOPMENT PARTNERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Courtney Stansbury
Title
Cno
Phone
(928) 938-4325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

136 S Lola LN
Pahrump, NV 89048-0898

Mailing address

2027 Dodge St Ste 500
Omaha, NE 68102-1231
Phone (928) 938-4325

Other names 1

  • Pahrump Community Health Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2342179Pahrump Community Health Center, LLC136 South Lola Lane, Pahrump, NV 89048Certificate of waiverApr 13, 2028

National Provider Directory

National Provider Directory

Locations

2027 Dodge St
Ste 500
Omaha, NE 68102

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1396515250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 DODGE ST STE 500",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681021231",
            "telephone_number": "928-938-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S LOLA LN",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890480898",
            "telephone_number": "928-846-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAHRUMP COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH DEVELOPMENT PARTNERS, LLC",
        "enumeration_date": "2024-01-03",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "STANSBURY",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "CNO",
        "authorized_official_telephone_number": "928-938-4325"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pahrump Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pahrump, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.