NEVADA STATE TRIAGE CENTER NPI 1790267912

NPI Information

NPI: 1790267912
Provider Name: NEVADA STATE TRIAGE CENTER
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 29D2159219

Address:
5530 S JONES BLVD
LAS VEGAS, NV
ZIP 89118
Phone: (702) 683-4498
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NEVADA STATE TRIAGE CENTER is a substance abuse rehabilitation facility in Las Vegas, NV. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. NEVADA STATE TRIAGE CENTER NPI is 1790267912. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5530 S JONES BLVD
LAS VEGAS, NV
ZIP 89118-566
Phone: (702) 683-4498

The provider's authorized official is Clifford Etienne .
The authorized official title is Chief Financial Offier and has the following contact phone number (702) 771-0304.

The CLIA number assigned to this NPI record is 29D2159219 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/4/2018 and was last updated on 1/15/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	101YM0800X	Counselor	Mental Health	No
3	207RA0401X	Internal Medicine	Addiction Medicine	No
4	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	No
5	276400000X	Rehabilitation, Substance Use Disorder Unit		No
6	324500000X	Substance Abuse Rehabilitation Facility		Yes
7	171M00000X	Case Manager/Care Coordinator		No
8	405300000X	Prevention Professional		No
9	106S00000X	Behavior Technician		No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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