NPIMap

Organization Active NPI

Nevada Health Centers, Inc.

  • Clinic Pharmacy
  • Jackpot, NV
National Provider Identifier
1407030299
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PH1212 Issued in NV
Legal business name
NEVADA HEALTH CENTERS, INC.
Practice address
135 Keno Street
Jackpot, NV 89825
Phone
(775) 755-2500
Fax
(775) 755-2502
NPI assigned
Dec 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Stephanie Ingrey, RPH
Title
Pharmacist
Phone
(775) 888-6610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X PH1212 NV Primary

Addresses

Primary practice location

135 Keno Street
Jackpot, NV 89825

Mailing address

1802 N Carson St Ste 100
Carson City, NV 89701-1227
Phone (775) 888-6610

Other names 1

  • Jackpot Community Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nevada Rural Health Cen34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1407030299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 N CARSON ST STE 100",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897011227",
            "telephone_number": "775-888-6610",
            "fax_number": "775-887-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 KENO STREET",
            "city": "JACKPOT",
            "state": "NV",
            "postal_code": "89825",
            "telephone_number": "775-755-2500",
            "fax_number": "775-755-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "INGREY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "775-888-6610",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NV",
            "license": "PH1212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackpot Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackpot, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.