National Provider Identifier Database

STATE OF NEVADA
Psychiatric Hospital

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.


Contact Information

STATE OF NEVADA
480 GALLETTI WAY
SPARKS, NV89431-5564
Phone: 775-688-0400
Fax: 775-688-0434
Website:
Specialty Taxonomy Code
* Psychiatric Hospital 283Q00000X
Adult Mental Health 261QM0850X

* Indicates primary specialty

NPI Profile & details for STATE OF NEVADA

NPI Number 1972501021
Legal business name
LBN
STATE OF NEVADA
Authorized official HELEN BYRD - (INTERIM AGENCY MANAGER)
Entity Organization
Organization subpart No
Enumeration date 07/12/2005
Last updated 05/24/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • NV License #: 652HOS-14
  • NV Medicaid: 001316864
  • NV Medicaid: 001416864
  • NV Medicaid: 002016864
  • NV Medicaid: 002816864
  • NV Medicaid: 005416864
  • NV Medicaid: 100501303
  • NV Medicaid: 100503395
  • NV Other: VN29400029400 MEDICARE/MEDICARE PIN

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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