STATE OF NEVADA


Address: 825 S Main, Tonopah, NV 89049-0494
Phone: 7754826742

STATE OF NEVADA (NPI# 1184706012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184706012
Entity Type Organization
Organization Name STATE OF NEVADA
Other Organization Name TONOPAH MENTAL HEALTH CENTER
Practice Address 825 S Main
Tonopah
NV 89049-0494
Mailing Address 4126 Technology Way
Suite 102
Carson City
NV 89706-2013
Practice Telephone 7754826742
Practice Fax Number 7754823718
Mailing Telephone 7766877573
Mailing Fax Number 7756877544
Enumeration Date 2006-10-19
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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
TONOPAH MENTAL HEALTH CENTER Doing Business As Name - Organization

Other Provider IDs and Locations

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
1710069646 State of Nevada Clinic/Center 100 Depot #5, Caliente, NV 89008-0000 2006-10-19

Other Data Sources

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

Office Location

Street Address 825 S MAIN
City TONOPAH
State NV
Zip Code 89049-0494

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427699792 Shawn Edward Jensen Pharmacist 120 South Main St, Tonopah, NV 89049 2019-10-08
1861967911 Kathleen Bernache Counselor 1 Frankie St, Tonopah, NV 89049 2018-10-04
1063901965 Raleys Pharmacy Hwy 95 & Air Force Rd., Tonopah, NV 89049 2018-05-07
1467858464 Westcare Nevada Counselor 1 Frankie Street, Tonopah, NV 89049 2014-11-18
1295130185 David Cain Physician Assistant 825 South Main, Tonopah, NV 89049 2014-11-04
1407088529 Nevada State Health Division Public Health or Welfare #1 Frankie Avenue, Tonopah, NV 89049 2009-08-24
1225233018 Craig A Strobel Family Medicine 825 S. Erie Main Street, Tonopah, NV 89049 2007-06-20
1033253174 Gerald W Peterson Jr Ltd Family Medicine 119 St. Patrick Ln., Tonopah, NV 89049 2007-02-19
1487718383 Nye County Ambulance 1114 Globemallow Ln, Ste 2, Tonopah, NV 89049 2006-12-22
1114098464 Lisa Marie Logan Physician Assistant 825 S Main St., Tonopah, NV 89049 2006-11-10
Find all providers in zip 89049

Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

Search similar providers

City TONOPAH
Zip Code 89049

Improve Information

Please comment or provide details below to improve the information on STATE OF NEVADA.

Dataset Information

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.

Trending Searches