CRESCENT VALLEY MEDICAL CLINIC
NPI 1023196292
Clinic/Center - Federally Qualified Health Center (FQHC) in Crescent Valley, NV

Active since November 02, 2006CLIA 29D2102325 · Waiver
5043 TENABO AVENUE, CRESCENT VALLEY, NV 89821(775) 468-1010(775) 468-1019 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crescent Valley Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRESCENT VALLEY MEDICAL CLINIC (NPI 1023196292) is a healthcare organization registered as a federally qualified health center (fqhc) in Crescent Valley, Nevada and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through September 20, 2027 and lists Walter B Davis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023196292
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNEVADA HEALTH CENTERS INC
Location Address5043 TENABO AVENUECrescent Valley, NV 89821-1155
Mailing Address3325 Research WayCarson City, NV 89706-7913 · (775) 888-6610 · Fax (775) 888-4904
Fax(775) 468-1019
Organization SubpartYes
Authorized OfficialWalter B DavisCeo · (775) 888-6610
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 21, 2022
NPI 1023196292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
5043 TENABO AVENUE, Crescent Valley, NV 89821

Other Names 1

Doing Business AsCrescent Valley Medical Clinic

Other Identifiers 2

Medicaid1023196292NV
OtherDQ468DNV · Medicare Id - Type Unspecified

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2102325

Nevada Health Centers Carson City School-Based · Carson City, NV
Active · expires Sep 20, 2027
CLIA Number29D2102325
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 21, 2025
Certificate Expiration DateSeptember 20, 2027
Laboratory DirectorDarren A. Rahaman
Laboratory Phone(775) 888-6610
Laboratory LocationNevada Health Centers Carson City School-Based618 W Musser St, Carson City, NV 89703
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
5043 TENABO AVENUE, WILLIAM BEE RIRIE HOSPITAL CRESCENT VALLEY CLINIC
CRESCENT VALLEY, NV 89821
Pharmacy (Clinic Pharmacy)
5043 TENABO AVENUE
CRESCENT VALLEY, NV 89821

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nevada Health Centers Inc's NPI number?

The NPI number for Nevada Health Centers Inc is 1023196292. It was assigned to this organization in the NPPES registry on November 2, 2006. The provider is doing business as Crescent Valley Medical Clinic.

Where is Nevada Health Centers Inc located?

Nevada Health Centers Inc is located at 5043 Tenabo Avenue, Crescent Valley, NV 89821. The listed phone number is (775) 468-1010.

What is Nevada Health Centers Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Nevada Health Centers Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2102325) is associated with this NPI, valid through September 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nevada Health Centers Inc was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.