STATE OF NEVADA (NPI# 1740370006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740370006 |
Entity Type | Organization |
Organization Name | STATE OF NEVADA |
Other Organization Name | LAUGHLIN MENTAL HEALTH CENTER |
Practice Address |
3650 S Pointe Cir Suite 208 Laughlin NV 89029-0424 |
Mailing Address |
4126 Technology Way Suite 102 Carson City NV 89706-2013 |
Practice Telephone | 7022985313 |
Practice Fax Number | 7022980188 |
Mailing Telephone | 7756877573 |
Mailing Fax Number | 7756877544 |
Enumeration Date | 2006-10-14 |
Last Update Date | 2007-10-10 |
Authorized Official Name | MR. RAY C KENDALL (AGENCY DIRECTOR) |
Authorized Official Telephone | 7756877500 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
LAUGHLIN MENTAL HEALTH 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 |
1336203892 | State of Nevada | Public Health or Welfare | 1665 Old Hot Springs Rd Ste 157, Carson City, NV 89706-0663 | 2006-12-20 |
1184706012 | State of Nevada | Clinic/Center | 825 S Main, Tonopah, NV 89049-0494 | 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 |
3650 S POINTE CIR SUITE 208 |
City | LAUGHLIN |
State | NV |
Zip Code | 89029-0424 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366544124 | Jaldeep H Daulat Do Professional Corporation | Dermatology | 3650 S Pointe Cir, 106, Laughlin, NV 89029-0424 | 2006-09-02 |
1437646429 | Patrick Osmonson | Counselor | 3650 S Pointe Cir, Laughlin, NV 89029-0424 | 2018-04-16 |
1316392269 | Stacy Lewis | Counselor | 3650 S Pointe Cir, Suite 208, Laughlin, NV 89029-0424 | 2016-04-28 |
1114355955 | Valley View Physician Practices LLC | Family Medicine | 3650 S Pointe Cir, Laughlin, NV 89029-0424 | 2013-10-14 |
1689017089 | Teresa Marie Wood | Case Manager/Care Coordinator | 3650 S Pointe Cir, Suite 208, Laughlin, NV 89029-0424 | 2013-04-16 |
1609170463 | Cheryl Seipke | Rehabilitation Counselor | 3650 S Pointe Cir, Set 208, Laughlin, NV 89029-0424 | 2011-01-07 |
1144524901 | Christy Gastineau | Case Manager/Care Coordinator | 3650 S Pointe Cir, Ste 208, Laughlin, NV 89029-0424 | 2011-01-07 |
1023257219 | State of Nevada | Case Management | 3650 S Pointe Cir, Ste 208, Laughlin, NV 89029-0424 | 2009-02-11 |
1558532754 | Sleep Group Holdings, LLC | Durable Medical Equipment & Medical Supplies | 3650 S Pointe Cir, Suite 104a, Laughlin, NV 89029-0424 | 2008-03-14 |
1164546230 | George Sardina | Family Medicine | 3650 S Pointe Cir, Suite 205, Laughlin, NV 89029-0424 | 2007-03-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700486768 | Laughlin Community Health Center Inc | Nurse Practitioner | 3650 Sand Pointe Circle, Suite 101, Laughlin, NV 89029 | 2020-10-29 |
1023671302 | Jasmine Saroya Myers | Counselor | 3560 South Pointe Circle Suite 109, Laughlin, NV 89029 | 2019-04-22 |
1043562895 | Affordable Dental At Laughlin LLC | Dentist | 2311 S Casino Dr Ste D-2, Laughlin, NV 89029 | 2012-10-03 |
1740563535 | Affordable Dental At Laughlin LLC | Dentist | 2311 S Casino Dr Ste E, Laughlin, NV 89029 | 2011-09-28 |
1548578248 | Timothy Leroy Johnson | Marriage & Family Therapist | 3650 S Pointe Cir Ste 208, Laughlin, NV 89029 | 2010-09-16 |
1255435335 | Retina Consultants of Nevada LLP | Ophthalmology | 3650 S Point Circle, Suite 210, Laughlin, NV 89029 | 2006-09-11 |
1144592031 | Boguslawa Garrett | Behavioral Analyst | 3028 Soledad Dr, Laughlin, NV 89029-0119 | 2012-02-07 |
1578160370 | Sandra Stephens | Technician | 3665 S Needles Hwy Unit 2a, Laughlin, NV 89029-0201 | 2020-10-05 |
1871822551 | Martha Lynn Whitcher | Midwife | 2165 Pebble Creek Ln, Laughlin, NV 89029-0248 | 2009-12-09 |
1619042314 | Portable Pulmonary Diagnostics | Clinical Medical Laboratory | 3333 Partridge Run St, Laughlin, NV 89029-0266 | 2006-11-21 |
Find all providers in zip 89029 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881295848 | Renaissance Mental Health Corporation | Clinic/Center | 3663 E Sunset Rd Ste 201c, Las Vegas, NV 89120-3246 | 2020-11-05 |
1265033609 | Jamila Mitchell | Clinic/Center | 3465 W Craig Rd Ste A, North Las Vegas, NV 89032-5121 | 2020-11-03 |
1427665298 | Livelihood Wellness LLC | Clinic/Center | 2655 E Deer Springs Way Apt 1029, North Las Vegas, NV 89086-1451 | 2020-09-25 |
1447866801 | Steadfast Behavioral Clinic LLC | Clinic/Center | 8612 Copper Knoll Ave, Las Vegas, NV 89129-7649 | 2020-09-21 |
1306450978 | Super Life Codes Foundation | Clinic/Center | 4276 Spring Mountain Rd Unit 214, Las Vegas, NV 89102-8781 | 2020-09-01 |
1194335554 | New Leaf Wellness & Behavioral Health LLC | Clinic/Center | 3430 E Flamingo Rd Ste 244, Las Vegas, NV 89121-5020 | 2020-07-31 |
1700495884 | Fmt Behavioral Health Services | Clinic/Center | 4170 S Decatur Blvd Ste A6, Las Vegas, NV 89103-5862 | 2020-07-24 |
1962011049 | Nevada Psychotherapy Practice LLC | Clinic/Center | 8766 S Maryland Pkwy Ste 105, Las Vegas, NV 89123-6701 | 2020-07-24 |
1346858024 | Fairclough Consulting Services, LLC | Clinic/Center | 9224 Tudor Park Pl, Las Vegas, NV 89145-8726 | 2020-07-17 |
1841818457 | Wellness Foundation | Clinic/Center | 9850 S Maryland Pkwy # 5-371, Las Vegas, NV 89183-7146 | 2020-07-09 |
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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.