NPIMap

Organization Active NPI

Humboldt General Hospital

  • Land Ambulance
  • Winnemucca, NV
National Provider Identifier
1699899229
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
HUMBOLDT GENERAL HOSPITAL
Practice address
118 E Haskell St
Winnemucca, NV 89445-3247
Phone
(775) 623-5222
Fax
(775) 623-5904
NPI assigned
Mar 19, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mrs. Robyn Dunckhorst, RN
Title
Administrator
Phone
(775) 623-5222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

118 E Haskell St
Winnemucca, NV 89445-3247

Mailing address

118 E Haskell St
Winnemucca, NV 89445-3247
Phone (775) 623-5222

Other identifiers 1

IdentifierTypeStateIssuer
003207855MedicaidNV

Other names 2

  • HUMBOLDT AMBULANCE Other name
  • Humboldt County Hospital District Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210611000659 NV Part B Supplier - Ambulance Service Supplier 5193709798 Practice locations: Winnemucca, NV

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Humboldt General Hospital4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1000 Mizpah St
Winnemucca, NV 89445
Phone 77562352221360

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Humboldt General HospitalWinnemucca, NV, CCN 291308 Hospital Other (100%) Mar 12, 1985
Humboldt General HospitalWinnemucca, NV, CCN 29Z308 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 24, 2005
Humboldt General HospitalWinnemucca, NV, CCN 295024 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1985

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 49

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.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1699899229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 E HASKELL ST",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894453247",
            "telephone_number": "775-623-5222",
            "fax_number": "775-623-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E HASKELL ST",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894453247",
            "telephone_number": "775-623-5222",
            "fax_number": "775-623-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DUNCKHORST",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "775-623-5222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003207855",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HUMBOLDT AMBULANCE",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "HUMBOLDT AMBULANCE",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Humboldt County Hospital District",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winnemucca, NV

Sources for this page

Verify at the official NPI Registry.