1841481421 NPI number — NEVADA HEALTH CENTERS INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841481421 NPI number — NEVADA HEALTH CENTERS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEVADA HEALTH CENTERS INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841481421
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1802 N CARSON ST
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
CARSON CITY
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89701-1215
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
775-888-6610
Provider Business Mailing Address Fax Number:
775-887-7046

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
865 TAHOE BLVD
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
INCLINE VILLAGE
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89451-9452
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-888-6610
Provider Business Practice Location Address Fax Number:
775-887-7046
Provider Enumeration Date:
08/07/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CHASE
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
G
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
775-888-6610

Provider Taxonomy Codes

  • Taxonomy code: 261QF0400X , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)