Family Medical Center

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

FAMILY MEDICAL CENTER

Practice address

805 E Main St
Suite a
Fernley, NV 89408-9743

Phone

(775) 575-7171

NPI assigned

Jan 20, 2009

Last updated

Feb 27, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

BANNER HEALTHAs reported in NPPES

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

Authorized official

Name

Dennis Dahlen

Title

Sr VP Finance

Phone

(602) 747-4000

Specialties & licenses 1

Addresses

Part of

Big Horn Family Med

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/57966
• FHIR API: https://fhir4.healow.com/fhir/r4/CHCFAD

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marvin L Colvin, D.O.

  • Family Medicine Physician
  • Cottonwood, AZ
  • NPI 1336146059
  NPD (past)
• Olga M Morris, FNP

  • Nurse Practitioner
  • Cottonwood, AZ
  • NPI 1700883436
  NPD (past)

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1508003112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E MAIN ST",
            "address_2": "SUITE A",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894089743",
            "telephone_number": "775-575-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "DAHLEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "SR VP FINANCE",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric J Homze DDS (Desert Valley Dental)
• Sierra Esposito
• Sheryl Etter, PT
• Fae of Fernley, Inc.
• Kassandra Fales
• Cristy Fenn
• Fernley Chiropractic, Inc
• Fernley Pharmacy LLC (Dahl's Pharmacy of Fernley)
• Fernley Physical Therapy, Inc.
• Fernley Volunteer Fire Department & Ambulance Service

• Rural Health Clinic/Center in Fernley, NV
• Providers in Fernley, NV by specialty
• Rural Health Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.