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STATE OF NEVADA NPI 1447332382


NPI Information

NPI: 1447332382
Provider Name: STATE OF NEVADA

Doing Business As: MOAPA VALLEY MENTAL HEALTH CENTER

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

Specialization: Mental Health (Including Community Mental Health Center)

Address:
320 N MOAPA VALLEY BLVD
OVERTON, NV
ZIP 89040
Phone: (775) 726-3377
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STATE OF NEVADA is a mental health (including community mental health center) clinic center in Overton, NV. STATE OF NEVADA NPI is 1447332382. The provider is registered as an organization entity type.
The provider Is Doing Business As Moapa Valley Mental Health Center.

The provider's business location address is:

320 N MOAPA VALLEY BLVD
OVERTON, NV
ZIP 89040-000
Phone: (775) 726-3377
Fax: (775) 726-3356

The provider's authorized official is Barbara Legier .
The authorized official title is Agency Director and has the following contact phone number (775) 687-5162.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 4/20/2010.


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)Yes

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
1V30655MEDICARE PINNEVADA

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

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