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STATE OF NEVADA NPI 1609006188


NPI Information

NPI: 1609006188
Provider Name: STATE OF NEVADA

Doing Business As: STATE OF NEVADA, DHHS, DIVISION OF CHILD AND FAMILY SERVICES

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
480 GALLETTI WAY
SPARKS, NV
ZIP 89431
Phone: (775) 688-1633
Get Directions

STATE OF NEVADA is a clinic center in Sparks, NV. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). STATE OF NEVADA NPI is 1609006188. The provider is registered as an organization entity type.
The provider Is Doing Business As State Of Nevada, Dhhs, Division Of Child And Family Services.

The provider's business location address is:

480 GALLETTI WAY
SPARKS, NV
ZIP 89431-564
Phone: (775) 688-1633

The provider's authorized official is Marty Carraher .
The authorized official title is Administrative Services Officer and has the following contact phone number (775) 688-1658.

The enumeration date for this NPI number is 7/20/2009 and was last updated on 7/20/2009.


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
1261Q00000XClinic/CenterYes

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
1100507986MEDICAIDNEVADA

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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