Provider Demographics
NPI:1396515250
Name:PAHRUMP COMMUNITY HEALTH CENTER
Entity type:Organization
Organization Name:PAHRUMP COMMUNITY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF NURSING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:STANSBURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-846-7171
Mailing Address - Street 1:2027 DODGE ST STE 500
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68102-1231
Mailing Address - Country:US
Mailing Address - Phone:303-335-6967
Mailing Address - Fax:
Practice Address - Street 1:136 S LOLA LN
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-0898
Practice Address - Country:US
Practice Address - Phone:928-846-7171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY HEALTH DEVELOPMENT PARTNERS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical