NPIMap

Organization Active NPI

Mesquite Clinic Management Company LLC

  • Rural Health Clinic/Center
  • Logandale, NV
National Provider Identifier
1982275236
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MESQUITE CLINIC MANAGEMENT COMPANY LLC
Practice address
1925 Whipple Ave Ste 30
Logandale, NV 89021-9934
Phone
(702) 398-3621
Fax
(702) 398-3639
NPI assigned
Jul 8, 2021
Last updated
Jul 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Authorized official

Name
Laura J Fey
Title
Director Revenue Cycle
Phone
(615) 221-3641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

1925 Whipple Ave Ste 30
Logandale, NV 89021-9934

Mailing address

PO Box 26526
Belfast, ME 04915-2016
Phone (702) 398-3621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210726003520 NV Part A Provider - Rural Health Clinic 8123456456 Practice locations: Logandale, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982275236. Details of each certification follow.

Rural health clinic certification: CCN 293813

Legal name
MESQUITE CLINIC MANAGEMENT COMPANY LLC
Doing business as
MESA VIEW MEDICAL GROUP
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 8, 2021
Last certification
Dec 8, 2021
Ownership / control type
1B
Organization structure
LLCProprietary
Enrollment address
1925 Whipple Ave
Ste 30
Logandale, NV 89021-9934

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D0964477Mesa View Medical Group Quick Care-Moapa1925 Whipple Ave Ste 30, Logandale, NV 89021Certificate of waiverJul 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Mesa View Medical Group2 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.

Locations

1299 Bertha Howe Ave
Ste 231
Mesquite, NV 89027
Phone (702) 345-4531

1301 Bertha Howe Ave
Ste 7
Mesquite, NV 89027
Phone (702) 345-4373

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Henry Kunath Individual Corporate OfficerSr Vice President/Treasurer/Cfo Sep 6, 2023
Corporate Director Sep 6, 2023
Christopher M Harrison Individual Corporate OfficerPresident/Ceo Apr 1, 2025
Corporate DirectorPresident/Ceo Apr 1, 2025
Quorum Health Corporation Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Jul 7, 2020 100%
Goldentree Quorum Health Offshore I LTD Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Jul 7, 2021 7%
Gtam Onshore Blocker 2 LLC Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Dec 20, 2023 19.34%
Goldentree Quorum Health Offshore III LTD Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Jul 7, 2020 11%
Goldentree Distressed Onshore Master Fund III LP Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Aug 5, 2020 6.8%
Laura Fey Individual Corporate DirectorVP of Revenue Cycle Sep 1, 2021
W-2 Managing EmployeeVP of Revenue Cycle Sep 1, 2021
Goldentree Select Offshore Intermediate Fund LP Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Jul 7, 2020 5.44%
Quorum Health Investment Company LLC Organization, Brentwood, TN LLC 5% Or Greater Direct Ownership Interest Jul 7, 2020 100%
Goldentree Distressed Master Fund III LTD Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Jul 7, 2020 11%
Goldentree Quorum Health Offshore II LTD Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Jul 7, 2020 8.5%
Quincy Health LLC Organization, New York, NY LLC, Investment firm 5% Or Greater Indirect Ownership Interest Jul 7, 2020 100%
Steven W Frantz Individual Corporate OfficerVice President Aug 10, 2022
Corporate DirectorVice President Aug 10, 2022
Donald Esposito Individual Corporate OfficerSecreatary Sep 16, 2021
Corporate DirectorSecreatary Sep 16, 2021

Facilities with the same owner 32

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Mesquite Clinic Management Company LLC

    dba Mesa View Medical Group

    • Rural Health Clinic/Center
    • Mesquite, NV
    • NPI 1528639879

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Quorum Health Offshore I LTD, Goldentree Quorum Health Offshore II LTD, Goldentree Quorum Health Offshore III LTD, Goldentree Select Offshore Inte

    CMS ownership
  • MMC of Nevada LLC

    dba Mesa View Regional Hospital

    • Critical Access Hospital
    • Mesquite, NV
    • NPI 1275588782

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation, Quorum Health Investment Company

    CMS ownership
  • MMC of Nevada LLC

    dba Mesa View Regional Hospital

    • Medicare Defined Swing Bed Hospital Unit
    • Mesquite, NV
    • NPI 1275743791

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation, Quorum Health Investment Company

    CMS ownership
  • Big Bend Hospital Corporation
    • Rural Health Clinic/Center
    • Alpine, TX
    • NPI 1275988669

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Quorum Health Offshore I LTD, Goldentree Quorum Health Offshore II LTD, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LL

    CMS ownership
  • Big Bend Hospital Corporation

    dba Big Bend Regional Medical Center

    • Critical Access Hospital
    • Alpine, TX
    • NPI 1356312243

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Quorum Health Offshore I LTD, Goldentree Quorum Health Offshore II LTD, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LL

    CMS ownership
  • Big Bend Hospital Corporation

    dba Big Bend Regional Medical Center

    • Medicare Defined Swing Bed Hospital Unit
    • Alpine, TX
    • NPI 1689773756

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Quorum Health Offshore I LTD, Goldentree Quorum Health Offshore II LTD, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LL

    CMS ownership
  • Big Spring Texas Hospital Company LLC

    dba Scenic Mountain Medical Center

    • General Acute Care Hospital
    • Big Spring, TX
    • NPI 1336976034

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation, Quorum Health Investment Company

    CMS ownership
  • Big Spring Texas Hospital Company LLC

    dba Scenic Mountain Medical Center

    • Psychiatric Hospital Unit
    • Big Spring, TX
    • NPI 1770310476

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation, Quorum Health Investment Company

    CMS ownership
  • Deming Hospital Corporation

    dba Mimbres Valley Medical Group

    • Rural Health Clinic/Center
    • Deming, NM
    • NPI 1134526221

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Deming Hospital Corporation

    dba Mimbres Memorial Hospital

    • Medicare Defined Swing Bed Hospital Unit
    • Deming, NM
    • NPI 1710196571

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Deming Hospital Corporation

    dba Mimbres Memorial Hospital

    • Critical Access Hospital
    • Deming, NM
    • NPI 1891075446

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Evanston Hospital Corporation

    dba Bridger Valley Medical Group

    • Rural Health Clinic/Center
    • Lyman, WY
    • NPI 1134666944

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
View all 32

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1982275236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26526",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152016",
            "telephone_number": "702-398-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 WHIPPLE AVE STE 30",
            "city": "LOGANDALE",
            "state": "NV",
            "postal_code": "890219934",
            "telephone_number": "702-398-3621",
            "fax_number": "702-398-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESQUITE CLINIC MANAGEMENT COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "FEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "615-221-3641"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logandale, NV

Sources for this page

Verify at the official NPI Registry.