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NEVADA FAMILY PRACTICE RESIDENCY PROGRAM INC. NPI 1316142623


NPI Information

NPI: 1316142623
Provider Name: NEVADA FAMILY PRACTICE RESIDENCY PROGRAM, INC.

Doing Business As: MOJAVE ADULT, CHILD AND FAMILY SERVICES

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
745 W MOANA LN
SUITE 100
RENO, NV
ZIP 89509
Phone: (775) 334-3033
Get Directions

NEVADA FAMILY PRACTICE RESIDENCY PROGRAM, INC. is a mental health (including community mental health center) clinic center in Reno, NV. NEVADA FAMILY PRACTICE RESIDENCY PROGRAM, INC. NPI is 1316142623. The provider is registered as an organization entity type.
The provider Is Doing Business As Mojave Adult, Child And Family Services.

The provider's business location address is:

745 W MOANA LN
SUITE 100
RENO, NV
ZIP 89509-932
Phone: (775) 334-3033
Fax: (775) 334-3022

The provider's authorized official is James R Parcells .
The authorized official title is President and has the following contact phone number (702) 968-5059.

The enumeration date for this NPI number is 6/18/2007 and was last updated on 6/17/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)NEVADAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1005416100MEDICAIDNEVADA

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: 4/28/2024

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