Nevada Prime Healthcare LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NEVADA PRIME HEALTHCARE LLC

Practice address

800 Haskell St Ste 203
Reno, NV 89509-2893

Phone

(702) 533-2694

Fax

(775) 571-1860

NPI assigned

Apr 4, 2020

Last updated

Jul 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerrid Koler

Title

Owner

Phone

(702) 533-2694

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1972132678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 MILL ST STE 213B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HASKELL ST STE 203",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895092893",
            "telephone_number": "702-533-2694",
            "fax_number": "775-571-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA PRIME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-04",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "KOLER",
        "authorized_official_first_name": "JERRID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-533-2694"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Reno, NV
• Providers in Reno, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.