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STATE OF NEVADA NPI 1720218597


NPI Information

NPI: 1720218597
Provider Name: STATE OF NEVADA

Doing Business As: SOUTHERN NEVADA CHILD AND ADOLESCENT SERVICES, SNCAS PSYCH

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
6171 W CHARLESTON BLVD BLDG 11
LAS VEGAS, NV
ZIP 89146
Phone: (702) 486-6100
Get Directions

STATE OF NEVADA is a clinic center in Las Vegas, 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 1720218597. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Nevada Child And Adolescent Services, Sncas Psych.

The provider's business location address is:

6171 W CHARLESTON BLVD BLDG 11
LAS VEGAS, NV
ZIP 89146-126
Phone: (702) 486-6100
Fax: (702) 486-6057

The provider's authorized official is Sandra Stone .
The authorized official title is Management Analyst 3 and has the following contact phone number (702) 486-8226.

The enumeration date for this NPI number is 7/15/2009 and was last updated on 9/20/2023.


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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100523025MEDICAIDNEVADA

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: 5/5/2024

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