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Contact Information

STATE OF NEVADA
100 VETERANS MEMORIAL DRIVE
BOULDER CITY, NV89005
 Phone: 702-332-6713
 Fax: 702-332-6762
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Alzheimer Center /Dementia Center/Dementia Special Care Unit

311500000X
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for STATE OF NEVADA

NPI # 1083612741
LBN Legal business name STATE OF NEVADA
Authorized official FRANK BELLINGER - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/07/2005
Last updated 08/01/2013 - About 13 years ago
Identifiers
NV License # 2984 SNF-6
NV Medicaid 1902320
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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