MT GRANT MEDICAL BUILDING
NPI 1336197086
Clinic/Center - Rural Health in Hawthorne, NV

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

Active since May 05, 2006CLIA 29D0928814 · Microscopy

200 SOUTH A STREET, HAWTHORNE, NV 89415(775) 945-2461(775) 945-2359 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mt Grant Medical Building NPPES

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

MT GRANT MEDICAL BUILDING (NPI 1336197086) is a healthcare organization registered as a rural health in Hawthorne, Nevada and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through May 27, 2027 and lists Gregory J Schumann, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1336197086

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameMT GRANT GENERAL HOSPITAL

Location Address200 SOUTH A STREETHawthorne, NV 89415-1510

Mailing Address200 South A Street, Po Box 1510Hawthorne, NV 89415-1510 · (775) 945-2461 · Fax (775) 945-2359

Phone(775) 945-2461

Fax(775) 945-2359

Organization SubpartNo

Authorized OfficialGregory J SchumannBusiness Office Manager · (775) 945-2461

Enumeration DateMay 5, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1336197086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

License✔ Licensed in NV · 1170RHC-8

200 SOUTH A STREET, Hawthorne, NV 89415

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Other Names 1

Other NameMt Grant Medical Building

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 29D0928814

Mt Grant Medical Building · Hawthorne, NV

Active · expires May 27, 2027

CLIA Number29D0928814

Laboratory TypePhysician Office

Certificate Effective DateMay 28, 2025

Certificate Expiration DateMay 27, 2027

Laboratory DirectorSharon E. Ruch

Laboratory Phone(775) 945-2461

Laboratory LocationMt Grant Medical Building200 South A St, Hawthorne, NV 89415

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 11

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

CHARLES FRANK MANN IV AEMT

Emergency Medical Technician, Intermediate