STATE OF NEVADA NPI 1255416491

NPI Information

  • NPI: 1255416491
  • Provider Name: STATE OF NEVADA
  • Classification: Public Health or Welfare - 251K00000X
  • Entity Type: Organization
  • Doing Business As: COMMUNITY HEALTH SERVICES
  • CLIA Number: 29D0675569
  • Address: 1005 MAIN STREET
    PANACA, NV
    ZIP 89042
  • Phone: (775) 726-3123

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NPI Details

STATE OF NEVADA is a public health or welfare in Panaca, NV. STATE OF NEVADA NPI is 1255416491. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Health Services.

The provider's business location address is:

1005 MAIN STREET
PANACA, NV
ZIP 89042-000
Phone: (775) 726-3123

The provider's authorized official is Tammy Ritter .
The authorized official title is Chniii and has the following contact phone number (775) 684-5031.

The CLIA number assigned to this NPI record is 29D0675569 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 1/9/2023.

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 License Number License State Primary
1251J00000XNursing CareNo
2251J00000XNursing CareNEVADANo
3251K00000XPublic Health or WelfareNEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001713906MEDICAIDNEVADA

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: 3/30/2025

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