Healthcare Provider Details

I. General information

NPI: 1013094010
Provider Name (Legal Business Name): BATTLE MOUNTAIN GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 08/18/2020
Certification Date: 08/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 S HUMBOLDT ST
BATTLE MOUNTAIN NV
89820-1988
US

IV. Provider business mailing address

535 S HUMBOLDT ST
BATTLE MOUNTAIN NV
89820-1988
US

V. Phone/Fax

Practice location:
  • Phone: 775-635-2550
  • Fax: 775-635-8844
Mailing address:
  • Phone: 775-635-2550
  • Fax: 775-635-8844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: JASON K BLEAK
Title or Position: CEO
Credential:
Phone: 775-635-2550