STATE OF NEVADA (NPI# 1336203892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336203892 |
| Entity Type | Organization |
| Organization Name | STATE OF NEVADA |
| Other Organization Name | MHDS RURAL REGIONAL CENTER |
| Practice Address |
1665 Old Hot Springs Rd Ste 157 Carson City NV 89706-0663 |
| Practice Telephone | 7756875162 |
| Practice Fax Number | 7756875745 |
| Mailing Telephone | 7756875162 |
| Mailing Fax Number | 7756875745 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | DR. MARCIA BENNETT (DIRECTOR) |
| Authorized Official Telephone | 7756875162 |
| Authorized Official Credential | PH. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 005413091 | 05 | |
| NV | 03813096 | 05 | |
| NV | 03813092 | 05 |
| Other Name | Type Code |
|---|---|
| MHDS RURAL REGIONAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1316574064 | State of Nevada | Psychiatric Residential Treatment Facility | 2655 Enterprise Dr, Reno, NV 89512 | 2020-03-24 |
| 1114309432 | State of Nevada | Case Management | 3416 Goni Rd Bldg D, 132, Carson City, NV 89706-8008 | 2015-06-23 |
| 1699914887 | State of Nevada | Case Management | 775 Cornell Avenue, Suite A-1, Lovelock, NV 89419-0000 | 2009-02-11 |
| 1386805265 | State of Nevada | Public Health or Welfare | 1000 E Williams Street, #205, Carson City, NV 80701 | 2008-06-23 |
| 1558549972 | State of Nevada | Case Management | 100 Depot, #5, Caliente, NV 89008-0000 | 2008-02-07 |
| 1578741179 | State of Nevada | Case Management | 1665 Old Hot Springs Road, Suite 150, Carson City, NV 89706-0668 | 2008-02-06 |
| 1184706012 | State of Nevada | Clinic/Center | 825 S Main, Tonopah, NV 89049-0494 | 2006-10-19 |
| 1710069646 | State of Nevada | Clinic/Center | 100 Depot #5, Caliente, NV 89008-0000 | 2006-10-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STATE OF NEVADA RURAL CLINICS | 4126 Technology Way 2nd Fl, Carson City, NV 89706-2027 |
| Street Address |
1665 OLD HOT SPRINGS RD STE 157 |
| City | CARSON CITY |
| State | NV |
| Zip Code | 89706-0663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528461118 | Jeannine Lea Gilbreath | Registered Nurse | 1665 Old Hot Springs Rd Ste 157, Carson City, NV 89706-0663 | 2014-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144795741 | Vera Whole Health, Wa PC | Clinic/Center | 190 E. Winnie Lane, Carson City, NV 89706 | 2018-10-10 |
| 1811339013 | Eng Keong Tan | Internal Medicine | 2874 N Carson St Ste 120, Carson City, NV 89706 | 2013-07-29 |
| 1649583691 | Tamara June Nance | Marriage & Family Therapist | 1047 Mark Way, Carson City, NV 89706 | 2010-07-20 |
| 1992926646 | Jack Richard Araza | Psychologist | 309 East John St. Ste #1, Carson City, NV 89706 | 2007-05-01 |
| 1003939356 | Kenneth Anthony Edwards | Psychologist | 10116 Highway 50 East, Suite 101, Mound House, NV 89706 | 2007-04-09 |
| 1528132065 | Raymond B Graber II | Dentist | 2600 E College Parkway H23, Carson City, NV 89706 | 2006-11-17 |
| 1619511268 | Lindsey Michele Benedict | Pharmacist | 3325 Research Way, Community Health Pharmacy, Carson City, NV 89706 | 2019-11-06 |
| 1598279648 | Michelle Rae Tye | Behavior Technician | 3416 Goni Rd Ste D132, Carson City, NV 89706 | 2017-11-28 |
| 1952720203 | Nalini Channapatna Prasanna | Social Worker | 1665 Old Hot Springs Road, Suite 150, Carson City, NV 89706 | 2014-04-15 |
| 1851646657 | Farres Nitam Uddin Ahmed | Radiology | 2874 N Carson St Ste 300, Carson City, NV 89706 | 2012-07-17 |
| Find all providers in zip 89706 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801292446 | Division of Health Care Financing and Policy | Public Health or Welfare | 1100 E William St, Carson City, NV 89701-3112 | 2014-11-10 |
| 1386805265 | State of Nevada | Public Health or Welfare | 1000 E Williams Street, #205, Carson City, NV 80701 | 2008-06-23 |
| 1164592424 | State of Nevada Health Division | Public Health or Welfare | 4150 Technology Way, #300, Carson City, NV 89706-2009 | 2006-11-08 |
| 1922024314 | Carson City Finance Dept. | Public Health or Welfare | 900 E Long St, Carson City, NV 89706-3129 | 2006-07-15 |
| 1568538460 | State of Nevada Health Division | Public Health or Welfare | 4150 Technology Way, #300, Carson City, NV 89706-2009 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893316 | Sober Homiez Services LLC | Public Health or Welfare | 4566 S Pecos Rd, Las Vegas, NV 89121-5923 | 2020-02-19 |
| 1083257851 | Vegas Stronger | Public Health or Welfare | 737 N Main St Ste 100, Las Vegas, NV 89101-1918 | 2019-10-23 |
| 1730658998 | Changing Tomorrows LLC | Public Health or Welfare | 3620 Markam St, Las Vegas, NV 89121-2922 | 2018-11-17 |
| 1376097980 | Passport Health | Public Health or Welfare | 890 Mill St Ste 301, Reno, NV 89502-1436 | 2016-08-11 |
| 1477902906 | Jimmy Lampkin Jr. | Public Health or Welfare | 6275 Boulder Hwy, Apt 2027, Las Vegas, NV 89122-7462 | 2016-06-06 |
| 1699907725 | Nevada State Health Division/far Nursin | Public Health or Welfare | 26 Nevin Way, Yerington, NV 89447-2327 | 2009-08-24 |
| 1851523971 | Nevada State Health Division | Public Health or Welfare | 331 1st Street, Hawthorne, NV 89415 | 2009-08-24 |
| 1407088537 | Nevada State Health Division/far Nursin | Public Health or Welfare | 250 N. Hwy. 160, Ste 6, Pahrump, NV 89060-4016 | 2009-08-24 |
| 1639302763 | Nevada State Health Division/far Nursin | Public Health or Welfare | 535 Western Ave, Lovelock, NV 89419-1987 | 2009-08-24 |
| 1407088529 | Nevada State Health Division | Public Health or Welfare | #1 Frankie Avenue, Tonopah, NV 89049 | 2009-08-24 |
| Find all providers with the same taxonomy | ||||
| City | CARSON CITY |
| Zip Code | 89706 |
Please comment or provide details below to improve the information on STATE OF NEVADA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.