STATE OF NEVADA; NPI #1720346109

Contact Information

STATE OF NEVADA

480 GALLETTI WAY
SPARKS, NV 89431-5564

Phone: 775-688-2001
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Psychiatric Hospital	283Q00000X	A0[7]	Hospital-Psychiatric (PPS excluded)

Indicates primary specialty

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NPI Profile & details for STATE OF NEVADA

NPI Number 1720346109

LBN Legal business name STATE OF NEVADA

Authorized official ELIZABETH O'BRIEN - (ASO3)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/24/2012

Last updated 04/24/2012 - About 14 years ago

Identifiers

NV	License #	652HOS-21
NV	Medicaid	002816864

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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STATE OF NEVADA

Contact Information

Specialty

Psychiatric Hospital

NPI Profile & details for STATE OF NEVADA

Reviews for STATE OF NEVADA