NPIMap

Organization Active NPI

Primecare Nevada Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Tonopah, NV
National Provider Identifier
1922495704
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
65RUH-34 Issued in NV
Legal business name
PRIMECARE NEVADA INC.
Practice address
825 South Main Street
Tonopah, NV 89049-0391
Phone
(775) 482-6233
Fax
(775) 482-6155
NPI assigned
Apr 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Wayne C Allen
Title
Ceo/Administrator
Phone
(775) 482-6233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 65RUH-34 NV Primary

Addresses

Primary practice location

825 South Main Street
Tonopah, NV 89049-0391

Mailing address

825 South Main Street
Tonopah, NV 89049-0391
Phone (775) 482-6233

Other identifiers 1

IdentifierTypeStateIssuer
290020OtherNVPTAN

Other names 1

  • Nye Regional Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nye Regional Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1922495704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SOUTH MAIN STREET",
            "city": "TONOPAH",
            "state": "NV",
            "postal_code": "890490391",
            "telephone_number": "775-482-6233",
            "fax_number": "775-482-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SOUTH MAIN STREET",
            "city": "TONOPAH",
            "state": "NV",
            "postal_code": "890490391",
            "telephone_number": "775-482-6233",
            "fax_number": "775-482-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE NEVADA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "775-482-6233"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NV",
            "license": "65RUH-34",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "290020",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nye Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tonopah, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.