Provider Type Icon

NEVADA HEALTH CENTERS INC NPI 1558489427


NPI Information

NPI: 1558489427
Provider Name: NEVADA HEALTH CENTERS INC

Doing Business As: C.P. SQUIRES ELEMENTARY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 29D2054208

Address:
1312 E TONOPAH AVE
N LAS VEGAS, NV
ZIP 89030
Phone: (702) 399-4791
Get Directions

NEVADA HEALTH CENTERS INC is a federally qualified health center (fqhc) clinic center in N Las Vegas, NV. NEVADA HEALTH CENTERS INC NPI is 1558489427. The provider is registered as an organization entity type.
The provider Is Doing Business As C.p. Squires Elementary Health Center.

The provider's business location address is:

1312 E TONOPAH AVE
N LAS VEGAS, NV
ZIP 89030-111
Phone: (702) 399-4791
Fax: (702) 399-1547

The provider's authorized official is Thomas G Chase .
The authorized official title is Ceo and has the following contact phone number (775) 887-1590.

The CLIA number assigned to this NPI record is 29D2054208 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100505012MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.