NPIMap

Organization Active NPI

Prime Care Nevada Inc

  • Clinic/Center
  • Tonopah, NV
National Provider Identifier
1508077546
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PRIME CARE NEVADA INC
Practice address
825 South Main Street
Tonopah, NV 89049
Phone
(775) 482-6233
Fax
(775) 482-8272
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Mark Joseph Latcheran
Title
Ceo
Phone
(775) 482-2460

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Rural Acute Care Hospital 282NR1301X

Addresses

Primary practice location

825 South Main Street
Tonopah, NV 89049

Mailing address

P.O. Box 391
Tonopah, NV 89049-0391
Phone (775) 482-6233

Other identifiers 1

IdentifierTypeStateIssuer
100505391MedicaidNV

Other names 1

  • Nye Regional Medical Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1508077546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 391",
            "city": "TONOPAH",
            "state": "NV",
            "postal_code": "890490391",
            "telephone_number": "775-482-6233",
            "fax_number": "775-482-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SOUTH MAIN STREET",
            "city": "TONOPAH",
            "state": "NV",
            "postal_code": "89049",
            "telephone_number": "775-482-6233",
            "fax_number": "775-482-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE NEVADA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "LATCHERAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "775-482-2460"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100505391",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nye Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tonopah, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.