Nevada Medical Clinic L.L.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

NEVADA MEDICAL CLINIC L.L.C.

Practice address

900 S Adams St
Nevada, MO 64772-3210

Phone

(417) 667-6015

Fax

(417) 667-4234

NPI assigned

Dec 30, 2015

Last updated

Dec 30, 2015By 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

James David Harms

Title

Administrator

Phone

(417) 667-6015

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Jennifer Conley, M.D.

  • Family Medicine Physician
  • Nevada, MO
  • NPI 1194720862
  NPD

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1770948119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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 MEDICAL CLINIC L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "HARMS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "417-667-6015"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500921101",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nevada Health Care Center, L.L.C. (Nevada Health Care Center)
• Nevada Health Care Services, Inc. (Joe Clark Residential Care Home)
• Nevada Imaging Inc
• Nevada Internal Medicine, Inc
• Nevada Medical Clinic L.L.C.
• Nevada Optometric Center, Inc.
• Nevada R-5 School District
• Nevada Surgical Associates LLC
• Nevada Urgent Care
• Nevada Urgent Care, LLC

• Primary Care Clinic/Center in Nevada, MO
• Providers in Nevada, MO by specialty
• Primary Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.