NPIMap

Organization Active NPI

Nevada Health Centers Inc

Doing business as Bridger Health Center

  • Federally Qualified Health Center (FQHC)
  • Las Vegas, NV
National Provider Identifier
1730113465
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NEVADA HEALTH CENTERS INC
Doing business as
Bridger Health Center
Practice address
310 9TH St
Ste 110
Las Vegas, NV 89101
Phone
(702) 220-9932
Fax
(702) 366-8642
NPI assigned
Jul 10, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Thomas G Chase
Title
Chief Executive Officer
Phone
(775) 887-1590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NV Primary

Addresses

Primary practice location

310 9TH St
Ste 110
Las Vegas, NV 89101

Mailing address

1802 N Carson St
Ste 100
Carson City, NV 89701-1227
Phone (775) 887-1590

Other names 1

  • Bridger Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730113465. Details of each certification follow.

  • CCN 291834 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 291834

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
BRIDGER HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 27, 2006
Last certification
Oct 27, 2006
Ownership / control type
For profit – corporation
Facility address
310 South 9TH Street, Ste 110
Las Vegas, NV 89101

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1730113465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 N CARSON ST",
            "address_2": "STE 100",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897011227",
            "telephone_number": "775-887-1590",
            "fax_number": "775-887-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 9TH ST",
            "address_2": "STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89101",
            "telephone_number": "702-220-9932",
            "fax_number": "702-366-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA HEALTH CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "775-887-1590",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridger Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.