Active NPI
Nevada Health Centers Inc
- Federally Qualified Health Center (FQHC)
- Las Vegas, NV
National Provider Identifier
1962520239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- NEVADA HEALTH CENTERS INC
- Practice address
- 2839 Burnham Ave
Las Vegas, NV 89169-1793 - Phone
- (702) 369-0679
- Fax
- (702) 369-8227
- NPI assigned
- Mar 26, 2007
- Organization subpart
- Yes
- Parent organization
- NEVADA HEALTH CENTERS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas G Chase
- Title
- Ceo
- Phone
- (775) 887-1590
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NV | Primary |
Addresses
Primary practice location
2839 Burnham Ave
Las Vegas, NV 89169-1793
Mailing address
1802 N Carson St
Suite 100
Carson City, NV 89701-1215
Phone (775) 888-6610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100505013 | Medicaid | NV |
Other names 1
- Valley High School Health Center
National Provider Directory
National Provider Directory- Tax ID family
- Nevada Rural Health Cen
- Part of
- Nevada Rural Health Cen
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Locations
2839 Burnham Ave
Las Vegas, NV 89169
Phone (702) 369-0679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1962520239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 N CARSON ST",
"address_2": "SUITE 100",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897011215",
"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": "2839 BURNHAM AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891691793",
"telephone_number": "702-369-0679",
"fax_number": "702-369-8227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEVADA HEALTH CENTERS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEVADA HEALTH CENTERS INC",
"enumeration_date": "2007-03-26",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "CHASE",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "775-887-1590"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100505013",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Valley High School Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.