NPIMap

Organization Active NPI

Nevada Health Centers, Inc.

Doing business as Crescent Valley Medical Clinic

  • Clinic Pharmacy
  • Crescent Valley, NV
National Provider Identifier
1851575641
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PH1212 Issued in NV
Legal business name
NEVADA HEALTH CENTERS, INC.
Doing business as
Crescent Valley Medical Clinic
Practice address
5043 Tenabo Avenue
Crescent Valley, NV 89821
Phone
(775) 468-1010
Fax
(775) 468-1019
NPI assigned
Dec 28, 2007
Last updated
Dec 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Stephanie Ingrey, RPH
Title
Pharmacist
Phone
(775) 888-6610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X PH1212 NV Primary

Addresses

Primary practice location

5043 Tenabo Avenue
Crescent Valley, NV 89821

Mailing address

1802 N Carson St Ste 100
Carson City, NV 89701-1227
Phone (775) 888-6610

Other names 1

  • Crescent Valley Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nevada Health Centers34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

Locations

5043 Tenabo Ave
Crescent Valley, NV 89821
Phone (775) 468-0250

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1851575641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 N CARSON ST STE 100",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897011227",
            "telephone_number": "775-888-6610",
            "fax_number": "775-887-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5043 TENABO AVENUE",
            "city": "CRESCENT VALLEY",
            "state": "NV",
            "postal_code": "89821",
            "telephone_number": "775-468-1010",
            "fax_number": "775-468-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "INGREY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "775-888-6610",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NV",
            "license": "PH1212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crescent Valley Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crescent Valley, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.