NEVADA HEALTH CENTERS INC. (NPI# 1386944593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386944593 |
| Entity Type | Organization |
| Organization Name | NEVADA HEALTH CENTERS INC. |
| Other Organization Name | NEVADA HEALTH CENTERS MAMMOVAN |
| Practice Address |
1799 Mount Mariah Dr Las Vegas NV 89106-1501 |
| Mailing Address |
3325 Research Way Carson City NV 89706-7913 |
| Practice Telephone | 8775816266 |
| Practice Fax Number | 7022203679 |
| Mailing Telephone | 7758886610 |
| Mailing Fax Number | 7758884904 |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2014-06-10 |
| Authorized Official Name | WALTER B DAVIS (CEO) |
| Authorized Official Telephone | 7758886610 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0207X |
Clinic/Center Specialization: Radiology, Mobile Mammography |
03-54-3392-01 | NV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | NEVADA RADIATION CONTROL PROGRAM REGISTRIATION | 03-54-3392-01 | 01 |
| NV | 1386944593 | 05 | |
| NV | MEDICARE ID - TYPE UNSPECIFIED | DQ468A | 01 |
| Other Name | Type Code |
|---|---|
| Nevada Health Centers Mammovan | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417321902 | Nevada Health Centers Inc. | Clinic/Center | 175 E. Carson Street, Suite A, Virginia City, NV 89440 | 2015-11-20 |
| 1619348489 | Nevada Health Centers Inc. | Clinic/Center | 618 W. Musser Street, Carson City, NV 89703 | 2015-10-19 |
| Street Address |
1799 MOUNT MARIAH DR |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831186436 | Peter Duncan Beale | Obstetrics & Gynecology | 1799 Mount Mariah Dr, Las Vegas, NV 89106-1501 | 2005-09-29 |
| 1073156550 | Rhianna Michelle Perez | Nurse Practitioner | 1799 Mount Mariah Dr, Las Vegas, NV 89106-1501 | 2019-10-28 |
| 1730734807 | Brittney Susan Blazich | Physician Assistant | 1799 Mount Mariah Dr, Las Vegas, NV 89106-1501 | 2019-08-06 |
| 1760048771 | Nevada Health Centers Inc | Pharmacy | 1799 Mount Mariah Dr, Las Vegas, NV 89106-1501 | 2019-05-15 |
| 1548756265 | Nevada Health Centers Inc | Clinic/Center | 1799 Mount Mariah Dr, Las Vegas, NV 89106-1501 | 2018-07-05 |
| 1992228233 | Stacey C Jones | Counselor | 1799 Mount Mariah Dr, Las Vegas, NV 89106-1501 | 2017-07-19 |
| 1699296483 | Emily Burden | Social Worker | 1799 Mount Mariah Dr, Las Vegas, NV 89106-1501 | 2017-06-30 |
| 1770984064 | Kristin Tracy | Physician Assistant | 1799 Mount Mariah Dr, Las Vegas, NV 89106-1501 | 2014-09-06 |
| 1346658333 | Samantha Marie Strong | Pharmacist | 1799 Mount Mariah Dr, Las Vegas, NV 89106-1501 | 2014-07-23 |
| 1164858536 | Patty Ann Murphy | Advanced Practice Midwife | 1799 Mount Mariah Dr, Las Vegas, NV 89106-1501 | 2013-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
| Find all providers in zip 89106 | ||||
| Taxonomy Code | 261QR0207X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile Mammography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841664281 | Southwest Medical Associats, Inc | Clinic/Center | 8670 W Cheyenne Ave, Suite 105, Las Vegas, NV 89129-7456 | 2015-11-23 |
Please comment or provide details below to improve the information on NEVADA HEALTH CENTERS INC..
| 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.