NPIMap

Organization Active NPI

Nevada Health Centers Inc

Doing business as Nevada Health Centers Bower School Based at Basic Academy

  • Federally Qualified Health Center (FQHC)
  • Henderson, NV
National Provider Identifier
1811496607
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
29D2143403 Issued in NV
Legal business name
NEVADA HEALTH CENTERS INC
Doing business as
Nevada Health Centers Bower School Based at Basic Academy
Practice address
400 Palo Verde Dr
Henderson, NV 89015-6028
Phone
(702) 636-5400
NPI assigned
Feb 7, 2018
Last updated
Apr 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Authorized official

Name
Patricia Schroeder
Title
Provider Relations Manager
Phone
(775) 888-6610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 29D2143403 NV Primary

Addresses

Primary practice location

400 Palo Verde Dr
Henderson, NV 89015-6028

Mailing address

3325 Research Way
Carson City, NV 89706-7913
Phone (775) 888-6610

Other identifiers 1

IdentifierTypeStateIssuer
29D2143403OtherNVCLIA LABORATORY LICENSE NUMBER

Other names 1

  • Nevada Health Centers Bower School Based at Basic Academy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040219000452 NV Part B Supplier - Clinic/Group Practice 7113835307 Receives reassigned benefits from 65 practitioners
34 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Las Vegas, NV; North Las Vegas, NV; Pahrump, NV; Reno, NV; Virginia City, NV; West Wendover, NV; Amargosa Valley, NV; Austin, NV…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811496607. Details of each certification follow.

  • CCN 291858 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 291858

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
NEVADA HEALTH CENTERS INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 17, 2018
Last certification
Apr 17, 2018
Ownership / control type
For profit – corporation
Facility address
400 Palo Verde Dr
Henderson, NV 89015

Other NPIs on the same Medicare enrollment 34

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 34

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

400 Palo Verde Dr
Henderson, NV 89015
Phone (702) 636-5400

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1811496607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 RESEARCH WAY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897067913",
            "telephone_number": "775-888-6610",
            "fax_number": "775-888-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PALO VERDE DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890156028",
            "telephone_number": "702-636-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA HEALTH CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PROVIDER RELATIONS MANAGER",
        "authorized_official_telephone_number": "775-888-6610"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NV",
            "license": "29D2143403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA LABORATORY LICENSE NUMBER",
            "identifier": "29D2143403",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Health Centers Bower School Based at Basic Academy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nevada Health Centers Bower School Based at Basic Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.