NPIMap

Organization Active NPI

Nevada City Hospital

  • Rural Health Clinic/Center
  • Nevada, MO
National Provider Identifier
1730805136
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
NEVADA CITY HOSPITAL
Practice address
900 S Adams St
Nevada, MO 64772-3210
Phone
(417) 667-6015
Fax
(417) 667-4234
NPI assigned
Oct 17, 2022
Organization subpart
Yes
Parent organization
NEVADA CITY HOSPITALAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Jason Anglin
Title
Ceo/Authorized Official
Phone
(417) 448-3626

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 2

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

Other NPIs with the same Medicare PAC ID 5

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

Corporate family (same tax ID) 3

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

Facilities connected through Provider of Services related, parent or unit certification numbers.

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners 111

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 111

Medicare participation

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

Rural health clinic certification: CCN 268793

Medicare enrollment files
Legal name
NEVADA CITY HOSPITAL
Doing business as
NEVADA MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 1, 2022
Last certification
Nov 1, 2022
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
900 S Adams St
Nevada, MO 64772-3210
Related CCNs
260061

All disclosed owners & managing parties 12

Medicare enrollment files

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

NameRoleSinceShare
Michelle Cox Individual W-2 Managing EmployeePatient Financial Services Nov 1, 2022
Brian Leonard Individual Corporate DirectorBoard Member Feb 1, 2025
Jayne Novak Individual Corporate DirectorBoard Member Nov 1, 2022
Holly B Bush Individual Corporate OfficerCoo/Authorized Official Jun 2, 2025
Amanda Swink Individual Corporate DirectorBoard Member Jan 1, 2024
Mike Brown Individual Corporate DirectorBoard Member/Vice Chair Nov 1, 2022
Candice a Moore Individual Corporate DirectorBoard Member Nov 1, 2022
Aimee Meyer Individual Corporate DirectorBoard Member Nov 1, 2022
Cindy Thompson Individual Corporate DirectorBoard Member Nov 1, 2022
Jason W Anglin Individual Corporate OfficerCeo Nov 1, 2022
Seth Barrett Individual Corporate DirectorBoard Member Jan 1, 2023
Geoff Stewart Individual Corporate DirectorBoard Member Jan 1, 2023

All facility ownership & control disclosures 2

Medicare enrollment files

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

FacilityTypeRoleSince
Nevada Regional Medical CenterNevada, MO, CCN 26S061 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
NRMC Nowcare ClinicNevada, MO, CCN 268645 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966

Change-of-ownership history 1

Medicare enrollment files
DateEventCounterparty
Nov 1, 2022 Change of OwnershipThis provider was the buyer Nevada Medical Clinic L.L.C.CCN 263901, MO, NPI 1104821867

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20221108003271 MO Part a Provider - Rural Health Clinic 9830095280 Practice locations: Nevada, MO

National Provider Directory

National Provider Directory
Tax ID family
Nevada City Hospital (4 organizations share this tax ID)
Part of
Nevada City Hospital

Locations

800 S Ash St
Ste 200
Nevada, MO 64772
Phone (417) 448-2121

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

NPPES NPI Registry

Primary practice location

900 S Adams St
Nevada, MO 64772-3210

Mailing address

800 S Ash St
Nevada, MO 64772-3224
Phone (417) 667-3355

Other names 1

NPPES NPI Registry
  • Nevada Medical Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 4, 2023.

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1730805136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S ASH ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723224",
            "telephone_number": "417-667-3355",
            "fax_number": "417-448-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S ADAMS ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723210",
            "telephone_number": "417-667-6015",
            "fax_number": "417-667-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA CITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEVADA CITY HOSPITAL",
        "enumeration_date": "2022-10-17",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "ANGLIN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "417-448-3626"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nevada Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nevada, MO

Sources for this page

Verify at the official NPI Registry.