NPIMap

Organization Active NPI

Primecare Facility

  • Adult Mental Health Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1942505755
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
NB20101850035 Issued in NV
Legal business name
PRIMECARE FACILITY
Practice address
4920 Ronan Dr
Las Vegas, NV 89110-4736
Phone
(702) 203-2381
NPI assigned
Jan 26, 2011
Last updated
Jan 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Authorized official

Name
Josefina R Adams
Title
Owner/Administrator
Phone
(702) 203-2381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NB20101850035 NV Primary

Addresses

Primary practice location

4920 Ronan Dr
Las Vegas, NV 89110-4736

Mailing address

4920 Ronan Dr
Las Vegas, NV 89110

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1942505755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 RONAN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 RONAN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891104736",
            "telephone_number": "702-203-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JOSEFINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "702-203-2381"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NV",
            "license": "NB20101850035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.