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Contact Information

STATE OF NEVADA - DWTC
6171 W CHARLESTON BLVD BLDG 17
LAS VEGAS, NV89146-1126
 Phone: 702-486-8900
 Fax: 702-486-6307
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Hospital

283Q00000X A0[7] Hospital-Psychiatric (PPS excluded)
Indicates primary specialty

NPI Profile & details for STATE OF NEVADA - DWTC

NPI Number 1275600629
LBN Legal business name STATE OF NEVADA - DWTC
Authorized official SANDRA STONE - (MANAGEMENT ANALYST 4)
Entity Organization
Organization subpart 1 No
Enumeration date 11/29/2006
Last updated 02/13/2025 - More than a year ago
Identifiers
NV Medicaid 001302200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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