Mesquite Clinic Management Company LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MESQUITE CLINIC MANAGEMENT COMPANY LLC

Doing business as

Mesa View Medical Group

Practice address

1301 Bertha Howe Ave Ste 1
Mesquite, NV 89027-7503

Phone

(702) 346-0800

Fax

(702) 346-0801

NPI assigned

Jul 8, 2021

Last updated

Jul 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura J Fey

Title

Director Revenue Cycle

Phone

(615) 221-3641

Specialties & licenses 1

Addresses

Other names 1

• Mesa View Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528639879. Details of each certification follow.

• CCN 293812 Rural health clinic · Active · Details

Rural health clinic certification: CCN 293812

Legal name

MESQUITE CLINIC MANAGEMENT COMPANY LLC

Doing business as

MESA VIEW MEDICAL GROUP

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Dec 8, 2021

Last certification

Dec 8, 2021

Ownership / control type

1B

Organization structure

LLCProprietary

Incorporated

Jul 20, 2021 in NV

Enrollment address

1301 Bertha Howe Ave
Ste 1
Mesquite, NV 89027-7503

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mesquite Clinic Management Company LLC

  • Internal Medicine Physician
  • Mesquite, NV
  • NPI 1548800501

  8123456456

  Same PAC ID
• Mesquite Clinic Management Company LLC

  • Rural Health Clinic/Center
  • Logandale, NV
  • NPI 1982275236

  8123456456

  Same PAC ID

Tax ID family

Mesa View Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mesquite Clinic Management Company LLC

  • Rural Health Clinic/Center
  • Logandale, NV
  • NPI 1982275236
  NPD tax ID

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 32

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Mesquite Clinic Management Company LLC

  • Rural Health Clinic/Center
  • Logandale, NV
  • NPI 1982275236

  Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Quorum Health Offshore I LTD, Goldentree Quorum Health Offshore II LTD, Goldentree Quorum Health Offshore III LTD, Goldentree Select Offshore Inte

  CMS ownership
• MMC of Nevada LLC

  dba Mesa View Regional Hospital

  • Critical Access Hospital
  • Mesquite, NV
  • NPI 1275588782

  Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation, Quorum Health Investment Company

  CMS ownership
• MMC of Nevada LLC

  dba Mesa View Regional Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Mesquite, NV
  • NPI 1275743791

  Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation, Quorum Health Investment Company

  CMS ownership
• Big Bend Hospital Corporation

  • Rural Health Clinic/Center
  • Alpine, TX
  • NPI 1275988669

  Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Quorum Health Offshore I LTD, Goldentree Quorum Health Offshore II LTD, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LL

  CMS ownership
• Big Bend Hospital Corporation

  dba Big Bend Regional Medical Center

  • Critical Access Hospital
  • Alpine, TX
  • NPI 1356312243

  Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Quorum Health Offshore I LTD, Goldentree Quorum Health Offshore II LTD, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LL

  CMS ownership
• Big Bend Hospital Corporation

  dba Big Bend Regional Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Alpine, TX
  • NPI 1689773756

  Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Quorum Health Offshore I LTD, Goldentree Quorum Health Offshore II LTD, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LL

  CMS ownership
• Big Spring Texas Hospital Company LLC

  dba Scenic Mountain Medical Center

  • General Acute Care Hospital
  • Big Spring, TX
  • NPI 1336976034

  Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation, Quorum Health Investment Company

  CMS ownership
• Big Spring Texas Hospital Company LLC

  dba Scenic Mountain Medical Center

  • Psychiatric Hospital Unit
  • Big Spring, TX
  • NPI 1770310476

  Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation, Quorum Health Investment Company

  CMS ownership
• Deming Hospital Corporation

  dba Mimbres Valley Medical Group

  • Rural Health Clinic/Center
  • Deming, NM
  • NPI 1134526221

  Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

  CMS ownership
• Deming Hospital Corporation

  dba Mimbres Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Deming, NM
  • NPI 1710196571

  Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

  CMS ownership
• Deming Hospital Corporation

  dba Mimbres Memorial Hospital

  • Critical Access Hospital
  • Deming, NM
  • NPI 1891075446

  Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

  CMS ownership
• Evanston Hospital Corporation

  dba Bridger Valley Medical Group

  • Rural Health Clinic/Center
  • Lyman, WY
  • NPI 1134666944

  Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation

  CMS ownership

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1528639879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26526",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152016",
            "telephone_number": "702-346-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BERTHA HOWE AVE STE 1",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890277503",
            "telephone_number": "702-346-0800",
            "fax_number": "702-346-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESQUITE CLINIC MANAGEMENT COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "FEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "615-221-3641"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mesa View Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mesa View Home Care
• Mesa View Home Care, LLC
• Mesa View Hospice, LLC
• Mesa View Physical Rehabilitation, LLC
• Mesa View Regional Hospital
• Mesquite Clinic Management Company LLC
• Mesquite Dialysis Center LLC
• Mesquite Medical Associates
• Mesquite Medical Equipment
• Mesquite Vein and Laser, Inc

• Rural Health Clinic/Center in Mesquite, NV
• Providers in Mesquite, 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 Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.