DOWNTOWN OUTREACH CLINIC – NPI #1417075375
Clinic/Center

DOWNTOWN OUTREACH CLINIC is an AHC clinic located in LAS VEGAS, NV. NPPES has assigned the NPI number 1417075375 to DOWNTOWN OUTREACH CLINIC on March 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DOWNTOWN OUTREACH CLINIC” is a dba name, the actual legal business name for this organization is NEVADA HEALTH CENTERS INC. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DOWNTOWN OUTREACH CLINIC below.

NPI Profile for
NEVADA HEALTH CENTERS INC

NPI Number
1417075375
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NEVADA HEALTH CENTERS INC
Doing Business As (dba): DOWNTOWN OUTREACH CLINIC
Primary location
403 W WILSON
LAS VEGAS, NV 89106
Phone: (702) 380-8511 Fax: (702) 380-1120
Mailing address
1802 N CARSON ST
SUITE 100
CARSON CITY, NV 89701-1215
Phone: (775) 888-6610 Fax: (775) 887-7046
Organization Subpart
Yes - DOWNTOWN OUTREACH CLINIC is subpart of another organization.
Authorized Official
THOMAS CHASE
CHIEF EXECUTIVE OFFICER
Phone: (775) 887-1590
Updated
Identifiers

Identifiers for DOWNTOWN OUTREACH CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNV100508045
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
NV

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.