MMC OF NEVADA LLC (NPI# 1275743791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275743791 |
| Entity Type | Organization |
| Organization Name | MMC OF NEVADA LLC |
| Other Organization Name | MESA VIEW REGIONAL HOSPITAL |
| Practice Address |
1299 Bertha Howe Ave Mesquite NV 89027-7500 |
| Mailing Address |
Po Box 847743 Dallas TX 75284-7743 |
| Practice Telephone | 7023467037 |
| Practice Fax Number | 7023467031 |
| Mailing Telephone | 7023467037 |
| Mailing Fax Number | 7023467031 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | RANDY MICHAEL COOPER (SVP FINANCE OP/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6152213840 |
| Is Organization Subpart | Y |
| Parent Organization Name | MMC OF NEVADA LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Mesa View Regional Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851346019 | Mmc of Nevada LLC | Dietitian, Registered | 1299 Bertha Howe Ave, Mesquite, NV 89027-7500 | 2006-05-24 |
| 1275588782 | Mmc of Nevada LLC | Clinic/Center | 1299 Bertha Howe Ave, Mesquite, NV 89027-7500 | 2006-05-23 |
| Street Address |
1299 BERTHA HOWE AVE |
| City | MESQUITE |
| State | NV |
| Zip Code | 89027-7500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497740278 | James M Slattery | Nurse Anesthetist, Certified Registered | 1299 Bertha Howe Ave, Mesquite, NV 89027-7500 | 2005-09-16 |
| 1740640028 | Starfield Emergency Physicians, Pllc | Physician Assistant | 1299 Bertha Howe Ave, Mesquite, NV 89027-7500 | 2016-03-01 |
| 1912389537 | Ediriel Hernandez Salas | Emergency Medicine | 1299 Bertha Howe Ave, Mesquite, NV 89027 | 2015-06-19 |
| 1639594062 | Mesquite Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 1299 Bertha Howe Ave, Mesquite, NV 89027-7500 | 2014-02-21 |
| 1366877433 | Lisa Christina Vellinga | Nurse Anesthetist, Certified Registered | 1299 Bertha Howe Ave, Mesquite, NV 89027-7500 | 2013-09-09 |
| 1831325513 | Sun City Inpatient Services | Hospitalist | 1299 Bertha Howe Ave, Mesquite, NV 89027-7500 | 2009-06-08 |
| 1548470065 | Mesa View Regional Hospital | Anesthesiology | 1299 Bertha Howe Ave, Mesquite, NV 89027-7500 | 2007-05-23 |
| 1104861533 | Sean Neil Covey | Nurse Anesthetist, Certified Registered | 1299 Bertha Howe Ave, Mesquite, NV 89027-7500 | 2006-06-19 |
| 1902845712 | Donald C Hansen | Emergency Medicine | 1299 Bertha Howe Ave, Mesquite, NV 89027-7500 | 2006-06-06 |
| 1497701270 | Robert R Foster | Emergency Medicine | 1299 Bertha Howe Ave, Mesquite, NV 89027-7500 | 2006-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194388439 | Michael Shay Nielson | Occupational Therapist | 1140 W. Pioneer Blvd, Mesquite, NV 89027 | 2019-04-22 |
| 1104330059 | Pinnacle Absolute Care | Pharmacy | 114 N. Sandhill Blvd, Suite B, Mesquite, NV 89027 | 2017-11-29 |
| 1811346901 | Rodney Briggs | Physician Assistant | 1925 Whipple Ave. Ste. 30, Logandale, NV 89027 | 2016-06-08 |
| 1881085843 | Sylvan M. Johnson | Physical Therapist | 340 Falcon Ridge Pkwy # 500, Mesquite, NV 89027 | 2015-02-12 |
| 1326281882 | Gladys Kodjoe | Internal Medicine | 350 Falcon Ridge Pkwy Ste 102, Mesquite, NV 89027 | 2009-04-14 |
| 1316010432 | Mesquite Medical Equipment | Durable Medical Equipment & Medical Supplies | 330 Falcon Ridge Pkwy Ste 400b, Mesquite, NV 89027 | 2006-11-16 |
| 1316982028 | Kyle Devon Andrus | Optometrist | 330 N. Sandhill Blvd, Suite A, Mesquite, NV 89027 | 2006-06-17 |
| 1366409633 | Stephen R Hamilton | Registered Nurse | 1299 Bertha Howe Avenue, Mesquite, NV 89027 | 2006-04-28 |
| 1386642460 | Desert Health Care Facilities, Inc. | Skilled Nursing Facility | 272 Pioneer Blvd, Mesquite, NV 89027 | 2005-07-12 |
| 1205838265 | Marchant Physical Therapy & Wellness, Inc. | Specialist | 340 Falcon Ridge Parkway, Building 500, Mesquite, NV 89027 | 2005-06-02 |
| Find all providers in zip 89027 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285008219 | South Lyon Health Center, Inc. | Medicare Defined Swing Bed Unit | 213 S Whitacre St, Yerington, NV 89447-2561 | 2015-11-13 |
| 1922495704 | Primecare Nevada Inc. | Medicare Defined Swing Bed Unit | 825 South Main Street, Tonopah, NV 89049-0391 | 2015-04-20 |
| 1841496502 | Phc-elko Inc | Medicare Defined Swing Bed Unit | 2001 Errecart Blvd, Elko, NV 89801-8333 | 2007-06-21 |
| 1659595460 | Lincoln County Hospital District | Medicare Defined Swing Bed Unit | 700 North Spring Street, Caliente, NV 89008 | 2007-04-12 |
| 1750474912 | Pershing General Hospital | Medicare Defined Swing Bed Unit | 855 6th St., Lovelock, NV 89419-0661 | 2006-10-02 |
| 1598713240 | Mt Grant General Hospital | Medicare Defined Swing Bed Unit | 200 South A Street, Hawthorne, NV 89415-1510 | 2006-05-05 |
| 1245293562 | Washoe Barton Medical Clinic A Nevada Nonprofit Corporation | Medicare Defined Swing Bed Unit | 1107 Us Highway 395 N, Gardnerville, NV 89410-5304 | 2006-04-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.