MT GRANT GENERAL HOSPITAL (NPI# 1407493141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407493141 |
| Entity Type | Organization |
| Organization Name | MT GRANT GENERAL HOSPITAL |
| Practice Address |
200 South A Street Hawthorne NV 89415-1510 |
| Mailing Address |
Po Box 1510 Hawthorne NV 89415-1510 |
| Practice Telephone | 7759452461 |
| Practice Fax Number | 7759452359 |
| Mailing Telephone | 7759452461 |
| Mailing Fax Number | 7759452359 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |
| Authorized Official Name | HUGH QUALLS (HOSPITAL ADMINISTRATOR) |
| Authorized Official Telephone | 7759452461 |
| Is Organization Subpart | Y |
| Parent Organization Name | MT GRANT GENERAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146M00000X | Emergency Medical Technician, Intermediate | Emergency Medical Service Providers |
| Other Name | Type Code |
|---|---|
| Mt Grant General Hospital - Community Paramedicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801844527 | Mt Grant General Hospital | General Acute Care Hospital | 200 South A Street, Hawthorne, NV 89415-1510 | 2006-05-05 |
| 1073561718 | Mt Grant General Hospital | Skilled Nursing Facility | 200 South A Street, Hawthorne, NV 89415-1510 | 2006-05-05 |
| 1609824341 | Mt Grant General Hospital | Home Health | 200 South A Street, Hawthorne, NV 89415-1510 | 2006-05-05 |
| 1336197086 | Mt Grant General Hospital | Clinic/Center | 200 South A Street, Hawthorne, NV 89415-1510 | 2006-05-05 |
| 1346298007 | Mt Grant General Hospital | Clinic/Center | 200 South A Street, Hawthorne, NV 89415-1510 | 2006-05-05 |
| 1942258603 | Mt Grant General Hospital | General Acute Care Hospital | 200 South A Street, Hawthorne, NV 89415-1510 | 2006-05-05 |
| 1598713240 | Mt Grant General Hospital | Medicare Defined Swing Bed Unit | 200 South A Street, Hawthorne, NV 89415-1510 | 2006-05-05 |
| Street Address |
200 SOUTH A STREET |
| City | HAWTHORNE |
| State | NV |
| Zip Code | 89415-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801844527 | Mt Grant General Hospital | General Acute Care Hospital | 200 South A Street, Hawthorne, NV 89415-1510 | 2006-05-05 |
| 1750926895 | Sheryl Lynn Trela | Homemaker | 200 South A Street, Hawthorne, NV 89415 | 2019-11-13 |
| 1013551019 | Sandra Medeiros | Homemaker | 200 South A Street, Hawthorne, NV 89415-1510 | 2019-11-01 |
| 1447749627 | Charles Frank Mann Iv | Emergency Medical Technician, Intermediate | 200 South A Street, Hawthorne, NV 89415 | 2018-05-03 |
| 1154768042 | Banner Health Physicians West LLC | Clinic/Center | 200 South A Street, Hawthorne, NV 89415 | 2013-05-31 |
| 1073561718 | Mt Grant General Hospital | Skilled Nursing Facility | 200 South A Street, Hawthorne, NV 89415-1510 | 2006-05-05 |
| 1609824341 | Mt Grant General Hospital | Home Health | 200 South A Street, Hawthorne, NV 89415-1510 | 2006-05-05 |
| 1336197086 | Mt Grant General Hospital | Clinic/Center | 200 South A Street, Hawthorne, NV 89415-1510 | 2006-05-05 |
| 1346298007 | Mt Grant General Hospital | Clinic/Center | 200 South A Street, Hawthorne, NV 89415-1510 | 2006-05-05 |
| 1942258603 | Mt Grant General Hospital | General Acute Care Hospital | 200 South A Street, Hawthorne, NV 89415-1510 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324846 | Angela Lebleu | Behavior Technician | 203 C St, Hawthorne, NV 89415 | 2020-01-06 |
| 1710497920 | Claire Brillantes Espanol | Pharmacist | 1095 Hwy 95, Hawthorne, NV 89415 | 2017-10-03 |
| 1144692252 | Lakshmi Sriharsha Bingi | Pharmacist | Us-95, Safeway, Hawthorne, NV 89415 | 2015-10-28 |
| 1275965741 | Holly Heath Qualls | Speech-Language Pathologist | 317 D Street, Hawthorne, NV 89415 | 2013-08-06 |
| 1033455407 | Wanda Nixon | Registered Nurse | 331 First Street, Hawthorne, NV 89415 | 2012-12-12 |
| 1851523971 | Nevada State Health Division | Public Health or Welfare | 331 1st Street, Hawthorne, NV 89415 | 2009-08-24 |
| 1124258181 | Jeanne Hall | Dietitian, Registered | 399 Connelly, Hawthorne, NV 89415 | 2009-07-23 |
| 1851423164 | Carson Urologists Ltd | Urology | 200 S A St, Hawthorne, NV 89415 | 2007-03-12 |
| 1225057250 | Safeway Inc | Durable Medical Equipment & Medical Supplies | Hwy 95 and Armory, Hawthorne, NV 89415 | 2006-07-19 |
| 1902854516 | County of Mineral | Ambulance | 418 Mineral Way, Hawthorne, NV 89415 | 2006-05-05 |
| Find all providers in zip 89415 | ||||
| Taxonomy Code | 146M00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Intermediate |
| An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447749627 | Charles Frank Mann Iv | Emergency Medical Technician, Intermediate | 200 South A Street, Hawthorne, NV 89415 | 2018-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851752109 | Cassandra Darrough | Emergency Medical Technician, Intermediate | 104 Sr-447, Nixon, NV 89424-0256 | 2016-03-15 |
| 1235484262 | Merry Christine Trujillo | Emergency Medical Technician, Intermediate | 20 Olavarria Street, Mc Dermitt, NV 89421-0297 | 2012-07-16 |
| 1811105687 | Michelle L Harden | Emergency Medical Technician, Intermediate | 1616 Connolly Dr, Elko, NV 89801-4773 | 2007-05-17 |
| 1992327142 | Mary Longero | Emergency Medical Technician, Intermediate | 18600 Wedge Pkwy, Reno, NV 89511-3036 | 2020-05-11 |
| 1043876881 | Gricelda Jeanette Soto | Emergency Medical Technician, Intermediate | 118 E Haskell St, Winnemucca, NV 89445-3299 | 2019-05-17 |
| 1265098511 | Amy Jean Lake | Emergency Medical Technician, Intermediate | 118 E Haskell St, Winnemucca, NV 89445-3247 | 2019-05-13 |
| 1265095632 | Robert Rives | Emergency Medical Technician, Intermediate | 118 E Haskell St, Winnemucca, NV 89445-3299 | 2019-04-20 |
| 1518456391 | Stephanie Huseboe | Emergency Medical Technician, Intermediate | 118 E Haskell St, Winnemucca, NV 89445-3247 | 2018-05-07 |
| 1407345713 | Myra Kay Wall | Emergency Medical Technician, Intermediate | 535 S Humboldt St, Battle Mountain, NV 89820-1988 | 2018-05-02 |
| 1053800367 | Amy Marie Dodge | Emergency Medical Technician, Intermediate | 213 S Whitacre St, Yerington, NV 89447-2561 | 2018-05-02 |
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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.