Mojave Mental Health
LBN: Nevada Family Practice Residency Program, Inc.
Mojave Mental Health is an health care organization with primary practice located at 4000 E Charleston Blvd Suite 230, Las Vegas NV 89104-6659. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Nevada Family Practice Residency Program, Inc. can be contacted via phone (702) 968-5059, or through Parcells, James R via phone (702) 968-5059.
Contact Information
Primary practice address
4000 E Charleston Blvd Suite 230
Las Vegas NV 89104-6659
Phone: (702) 968-5059
Fax: (702) 968-4041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1366477036 |
|---|---|
| LBN Legal business name | Nevada Family Practice Residency Program, Inc. |
| DBA Doing business as | Mojave Mental Health |
| Authorized official | Parcells, James R LISW |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jun 17th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366477036 | NPPES |
| Nevada | MEDICAID | 100507624 | |
| Nevada | MEDICAID | 100507627 | |
| Nevada | MEDICAID | 100507629 | |
| Nevada | MEDICAID | 100508688 | |
| Nevada | MEDICAID | 100508689 | |
| Nevada | MEDICAID | 100507625 | |
| Nevada | MEDICAID | 100507626 | |
| Nevada | MEDICAID | 100507628 | |
| Nevada | MEDICAID | 100508048 |
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