Organization Active NPI

Hogle Miller & Ward Professional Corporation

  • Clinic/Center
  • Elko, NV
National Provider Identifier
1720144579
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HOGLE MILLER & WARD PROFESSIONAL CORPORATION
Practice address
1995 Errecart Blvd
Suite 102
Elko, NV 89801-8336
Phone
(775) 738-3111
Fax
(775) 778-6728
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Tamara B Kiehn, RN BSN
Title
Clinic Manager
Phone
(775) 777-0215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1995 Errecart Blvd
Suite 102
Elko, NV 89801-8336

Mailing address

1995 Errecart Blvd
Suite 102
Elko, NV 89801-8336
Phone (775) 738-3111

Other identifiers 2

IdentifierTypeStateIssuer
NV1822OtherNVBCBS
CN7767OtherNVRAILROAD MEDICARE

Other names 1

  • The Elko Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040318001523 NV Part B Supplier - Clinic/Group Practice 8022908375 Receives reassigned benefits from 2 practitioners
Practice locations: Elko, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D1014308Elko Clinic, the1995 Errecart Blvd Ste 103, Elko, NV 89801Certificate of waiverJun 30, 2027

National Provider Directory

National Provider Directory

Locations

1995 Errecart Blvd
Ste 103
Elko, NV 89801
Phone (775) 738-3111

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/mi-elko

Practitioners & affiliated clinicians

Practitioners 3

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": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1720144579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 ERRECART BLVD",
            "address_2": "SUITE 102",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018336",
            "telephone_number": "775-738-3111",
            "fax_number": "775-778-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 ERRECART BLVD",
            "address_2": "SUITE 102",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018336",
            "telephone_number": "775-738-3111",
            "fax_number": "775-778-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOGLE MILLER & WARD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "KIEHN",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "775-777-0215",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NV1822",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN7767",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Elko Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.